KATHY JOYCE MIZE (NPI# 1891746533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891746533 |
Entity Type | Individual |
Full Name | KATHY JOYCE MIZE |
Credential | D.P.M. |
Practice Address |
8145 N Milwaukee Ave Niles IL 60714-2828 |
Mailing Address |
6442 S Cass Ave Westmont IL 60559-3209 |
Practice Telephone | 8474700555 |
Practice Fax Number | 8474700019 |
Mailing Telephone | 6304930600 |
Mailing Fax Number | 6304930686 |
Enumeration Date | 2006-05-15 |
Last Update Date | 2008-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 016-005257 | IL | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-005257 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 01632760 | 01 |
IL | 016005257 | 05 | |
IL | RAILROAD MEDICARE | P00467322 | 01 |
Street Address |
8145 N MILWAUKEE AVE |
City | NILES |
State | IL |
Zip Code | 60714-2828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922197649 | Louis Santangelo | Podiatrist | 8145 N Milwaukee Ave, Niles, IL 60714-2828 | 2006-10-12 |
1215964523 | Paul Anthony Santangelo | Podiatrist | 8145 N Milwaukee Ave, Niles, IL 60714-2828 | 2006-06-26 |
1326074055 | Paul Santangelo Dpm PC | Podiatrist | 8145 N Milwaukee Ave, Niles, IL 60714-2828 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
Find all providers in zip 60714 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982889770 | Christopher H. Faris, Dpm | Podiatrist | 719 E Main St, Niles, MI 49120-2637 | 2007-12-31 |
1699772822 | Associates In Foot & Ankle Care Inc | Podiatrist | 1170 Niles Cortland Rd, Suite 1, Niles, OH 44446-3510 | 2005-07-01 |
1083010482 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 720 Youngstown Warren Rd, Niles, OH 44446-3551 | 2014-11-12 |
1205146164 | Ramy Fahim | Podiatrist | 720 Youngstown Warren Rd, Niles, OH 44446-3551 | 2010-10-13 |
1023291515 | Joseph V. Osti, Jr. | Podiatrist | 1170 Niles Cortland Rd, Suite 1, Niles, OH 44446-3591 | 2007-12-07 |
1922197649 | Louis Santangelo | Podiatrist | 8145 N Milwaukee Ave, Niles, IL 60714-2828 | 2006-10-12 |
1215964523 | Paul Anthony Santangelo | Podiatrist | 8145 N Milwaukee Ave, Niles, IL 60714-2828 | 2006-06-26 |
1326074055 | Paul Santangelo Dpm PC | Podiatrist | 8145 N Milwaukee Ave, Niles, IL 60714-2828 | 2006-06-24 |
1184618639 | Associates In Foot & Ankle Care Inc | Podiatrist | 1170 Niles Cortland Rd, Suite 1, Niles, OH 44446-3591 | 2005-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.