MEDICAL CENTER FOOT AND ANKLE PC (NPI# 1922173194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922173194 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER FOOT AND ANKLE PC |
| Practice Address |
15873 Middlebelt Rd Ste 400 Livonia MI 48154-3896 |
| Mailing Address |
15873 Middlebelt Rd Livonia MI 48154-3896 |
| Practice Telephone | 7344850060 |
| Mailing Telephone | 7344850060 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | CINDY SMITH (BILLING DEPARTMENT) |
| Authorized Official Telephone | 5865740500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | CK000960 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1654321 | 05 | |
| MI | 2932700 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 480Q245670 | 01 |
| MI | 2932693 | 05 |
| Street Address |
15873 MIDDLEBELT RD STE 400 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-3896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821351974 | Dental Sleep Medicine of Michigan Plc | Clinic/Center | 15873 Middlebelt Rd, Suite 100, Livonia, MI 48154-3896 | 2012-06-22 |
| 1891961405 | J. R. Stewart, Jr., D.d.s., P.C. | Clinic/Center | 15873 Middlebelt Rd, Suite 100, Livonia, MI 48154-3896 | 2008-05-03 |
| 1619032729 | James Ross Stewart Jr. | Dentist | 15873 Middlebelt Rd, Suite 100, Livonia, MI 48154-3811 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| 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 |
|---|---|---|---|---|
| 1376877027 | Mark J. Moss Dpm P.C. | Podiatrist | 29701 6 Mile Rd Ste 100a, Livonia, MI 48152-8601 | 2009-09-29 |
| 1518082296 | Jeffrey Danto Dpm | Podiatrist | 29520 6 Mile Rd, Livonia, MI 48152-3671 | 2007-03-20 |
| 1154410124 | Scott Saxton Wilber | Podiatrist | 18558 Westmore St, Livonia, MI 48152-3250 | 2006-10-11 |
| 1508870361 | Mark Jeffrey Moss | Podiatrist | 29701 6 Mile Rd, #100a, Livonia, MI 48152-8600 | 2006-07-28 |
| 1902836828 | Ernest Ajluni | Podiatrist | 17870 Farmington Road, Bldg C, Livonia, MI 48152 | 2006-07-04 |
| 1508862707 | Allen S Mehler | Podiatrist | 14555 Levan Rd, Ste E302, Livonia, MI 48154-5083 | 2005-06-22 |
| 1346244803 | Peter F. Gregory | Podiatrist | 17316 Farmington Rd, Livonia, MI 48152-3158 | 2005-06-11 |
| 1295072445 | Foot Healthcare Associates, PC | Podiatrist | 37595 7 Mile Rd, Suite 370, Livonia, MI 48152-1003 | 2013-01-08 |
| 1881712008 | Issam Nabeeh Mansour | Podiatrist | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2007-03-26 |
| 1932279437 | Nationwide Foot & Ankle Care PC | Podiatrist | 10986 Middlebelt Rd, Livonia, MI 48150-3058 | 2006-11-09 |
| Find all providers in LIVONIA | ||||
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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.