DEARBORN PODIATRY CLINIC PLLC (NPI# 1912383928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912383928 |
| Entity Type | Organization |
| Organization Name | DEARBORN PODIATRY CLINIC PLLC |
| Practice Address |
7633 E Jefferson Ave Suite 250 Detroit MI 48214-3730 |
| Practice Telephone | 3138213338 |
| Practice Fax Number | 3138235363 |
| Mailing Telephone | 3138213338 |
| Mailing Fax Number | 3138235363 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | AMER EL-KHATIB (OWNER) |
| Authorized Official Telephone | 3134437770 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
7633 E JEFFERSON AVE SUITE 250 |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097542 | Steven P Hadesman | Internal Medicine | 7633 E Jefferson Ave, Suite 290, Detroit, MI 48214-3730 | 2005-10-17 |
| 1336675727 | Nicholas Joseph Thomas | Student in an Organized Health Care Education/Training Program | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2017-05-04 |
| 1629510482 | Dds-tapestry | Dentist | 7633 E Jefferson Ave, Ste 200, Detroit, MI 48214-3730 | 2016-11-10 |
| 1144677501 | Princess Elhosary | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2016-05-16 |
| 1427419688 | Ashley D'agostini | Student in an Organized Health Care Education/Training Program | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2016-03-16 |
| 1487037610 | Samantha Dubin | Student in an Organized Health Care Education/Training Program | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2015-07-07 |
| 1023415288 | Bazzi Podiatry | Podiatrist | 7633 E Jefferson Ave, Suite 250, Detroit, MI 48214-3730 | 2014-12-03 |
| 1164829438 | David Scott Coviak | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2014-12-02 |
| 1124428198 | Matthew Cannavo | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2014-08-27 |
| 1821401449 | Brandon Duncan | Student in an Organized Health Care Education/Training Program | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2014-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155576 | Chinenye Ezike | Podiatrist | 22201 Moross Rd Ste 250, Detroit, MI 48236-2175 | 2016-06-15 |
| 1700048931 | Melissa Laura Allen | Podiatrist | 3430 E Jefferson Ave, 523, Detroit, MI 48207-4233 | 2008-06-29 |
| 1942491857 | Michigan Foot Surgeons, P.C. | Podiatrist | 12720 W 7 Mile Rd, Detroit, MI 48235-1301 | 2007-08-06 |
| 1649329590 | Stuart E Kirschenbaum | Podiatrist | 8319 Grand River Ave, Detroit, MI 48204-2231 | 2007-01-09 |
| 1639255946 | Stuart Edward Kirschenbaum | Podiatrist | 3031 W Grand Blvd Ste 423, Detroit, MI 48202-3141 | 2006-10-29 |
| 1679667620 | Cohen Podiatry PC | Podiatrist | 7633 E Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-03 |
| 1134212889 | Herbert Bircoll | Podiatrist | 7633 E. Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-02 |
| 1801905518 | Philip Edward Holmes | Podiatrist | 4646 John R. St, John Dingell Va Medical Center, Dept. of Surgery, Detroit, MI 48201 | 2006-08-29 |
| 1487678686 | Christopher Michael Fallu | Podiatrist | 6795 W Vernor Hwy, Detroit, MI 48209-1551 | 2006-07-27 |
| 1457385841 | Larry Weiss Dpm PC | Podiatrist | 17421 Greenfield, Detroit, MI 48235 | 2006-07-10 |
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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.