PAUL MALLAMO D.P.M. P C (NPI# 1912125634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912125634 |
| Entity Type | Organization |
| Organization Name | PAUL MALLAMO D.P.M. P C |
| Practice Address |
52526 Ford Ln Chesterfield MI 48047-3514 |
| Practice Telephone | 5865980455 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-11-20 |
| Authorized Official Name | PAUL H MALLAMO (D.P.M. PC) |
| Authorized Official Telephone | 5865980455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001813 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4253362 | 05 | |
| MI | RAILROAD MEDICARE | 480030776 | 01 |
| Street Address |
52526 FORD LN |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48047-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548385156 | Paul Mallamo | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
| 1053326892 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 1726 Clarkson Rd, Chesterfield, MO 63017-4976 | 2006-07-30 |
| 1427156942 | Howard Jaffe | Podiatrist | 1585 Woodlake Dr, Ste 200, Chesterfield, MO 63017-5740 | 2006-09-20 |
| 1033124888 | Constantine Kyramarios | Podiatrist | 1726 Clarkson Rd, Chesterfield, MO 63017-4976 | 2006-07-30 |
| 1174593735 | Matthew P Hansen | Podiatrist | 32743 23 Mile Rd, Ste 210, Chesterfield, MI 48047-1985 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on PAUL MALLAMO D.P.M. P C.
| 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.