DR. THOMAS LYALL ABRAHAM (NPI# 1891773131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891773131 |
Entity Type | Individual |
Full Name | DR. THOMAS LYALL ABRAHAM |
Credential | D.P.M. |
Practice Address |
205 Lincoln St Fenton MI 48430-2640 |
Practice Telephone | 8106293338 |
Practice Fax Number | 8106299243 |
Mailing Telephone | 8106293338 |
Mailing Fax Number | 8106299243 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2007-10-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
TA000732 | MI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CARE NETWORK | P97786 | 01 |
MI | 1087526 | 05 | |
MI | HEALTH PLUS OF MICHIGAN | 0984177 | 01 |
MI | M-CARE | C5603 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881810570 | Thomas K Abraham | Pharmacist | 775 Avenue Z, Apt#a, Brooklyn, NY 11235-6210 | 2007-04-18 |
1972607422 | Thomas Abey Abraham | Internal Medicine | 5020 Lake Forest Dr, Kalamazoo, MI 49008-3382 | 2006-09-12 |
1639285851 | Thomas Abraham | Radiologic Technologist | 327 Overland Park Dr, Houston, TX 77049-1797 | 2006-08-21 |
1639416548 | Thomas K Abraham | Pharmacist | 225 S Flamingo Rd, Plantation, FL 33325-2817 | 2013-01-11 |
1356665913 | Thomas P Abraham | Pharmacist | 110 Lockwood Ave, New Rochelle, NY 10801-5028 | 2010-03-24 |
1942485289 | Thomas Abraham | Internal Medicine | 205 Jfk Dr, Atlantis, FL 33462-1151 | 2008-01-06 |
1770611899 | Thomas M Abraham Jr. | Obstetrics & Gynecology | 100 Peach St, Suite 300, Erie, PA 16507-1423 | 2007-03-01 |
Street Address |
205 LINCOLN ST |
City | FENTON |
State | MI |
Zip Code | 48430-2640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
Find all providers in zip 48430 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932666880 | Tracey A Arbour | Podiatrist | 47205 Scarlet Dr S, Novi, MI 48374-3448 | 2019-02-27 |
1487107249 | Muhammad Kang | Podiatrist | 2075 E West Maple Rd Ste B207, Commerce Township, MI 48390-3816 | 2016-07-28 |
1508229188 | Katherine Morrison | Podiatrist | 14555 Levan Rd Ste E302, Livonia, MI 48154-5042 | 2016-04-01 |
1215293550 | Kevin J. Piebenga D.p.m. P.C. | Podiatrist | 3330 Central Boulevard, Hudsonville, MI 49426-4114 | 2012-04-11 |
1356570436 | Sarah Pope | Podiatrist | 2763 New England Dr, Rochester Hills, MI 48309-2819 | 2009-07-09 |
1831348416 | Allan Kalmus Dpm PC | Podiatrist | 5250 Auto Club Dr Ste 220, Dearborn, MI 48126-2619 | 2008-09-18 |
1659559870 | Craig R. Shelton, Dpm | Podiatrist | 103 Ferris St, Ypsilanti, MI 48197-5412 | 2008-02-11 |
1881802288 | Ronald Eugene Wilson | Podiatrist | 18460 Revere St, Detroit, MI 48234-1726 | 2007-05-18 |
1427185545 | James Peter Pitlosh | Podiatrist | 803 10th Ave, Suite A, Port Huron, MI 48060-3676 | 2007-02-27 |
1629137807 | Clifford Arthur Trethewey | Podiatrist | 216 W Exchange St, Owosso, MI 48867-2818 | 2006-12-06 |
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.