PREMIER PODIATRY PLLC (NPI# 1932642170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932642170 |
| Entity Type | Organization |
| Organization Name | PREMIER PODIATRY PLLC |
| Practice Address |
24327 Ford Rd Ste 1 Dearborn MI 48128-1129 |
| Practice Telephone | 3135254252 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | REDA AL-SHAER (REPRESENTATIVE) |
| Authorized Official Telephone | 3133590500 |
| 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 |
24327 FORD RD STE 1 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48128-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942219 | Mahmoud Farhat | Dentist | 18590 Outer Dr, Dearborn, MI 48128 | 2018-05-17 |
| 1730607474 | Gentle Hands Direct Care Services, Inc. | Chore Provider | 6659 Schaefer Hwy, Ste. 103, Dearborn, MI 48128 | 2017-09-01 |
| 1396095824 | Corey S. Farber, Pllc | Dentist | 23919 Ford Road, Dearborn, MI 48128 | 2012-09-12 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1841573425 | Apple Transportation LLC | Non-emergency Medical Transport (VAN) | 2000 Lafayette, Dearborn, MI 48128 | 2011-09-21 |
| 1407150295 | Dustin Marsh | Psychologist | 19044 Outer Dr, Dearborn, MI 48128 | 2011-01-07 |
| 1619205028 | Michigan-greenfield Urgent Care Pllc | Clinic/Center | 24355 Ford Rd, Dearborn, MI 48128 | 2009-11-23 |
| 1295905065 | Julius Frank Chikos | Dentist | 21775 Wildwood Street, Dearborn, MI 48128 | 2008-03-07 |
| 1003974155 | Walter Knysz Jr. | Dentist | 23401 Ford Road, Dearborn, MI 48128 | 2006-12-04 |
| 1902983703 | Fadi Ahmad Sobh | Pharmacist | 1745 N Silvery Ln, Dearborn, MI 48128 | 2006-11-01 |
| Find all providers in zip 48128 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538540349 | Ali N Ali | Podiatrist | 4309 Calhoun St, Dearborn, MI 48126-4021 | 2015-06-17 |
| 1720424484 | Bazzi Foot & Ankle D.p.m P.c | Podiatrist | 7548 Williamson St, Dearborn, MI 48126-1495 | 2013-05-21 |
| 1538135835 | Bilal E Ismail | Podiatrist | 5525 Schaefer Rd, Dearborn, MI 48126-3253 | 2006-02-27 |
| 1881664498 | Lawrence A Young | Podiatrist | 22161 Outer Dr, Dearborn, MI 48124-3901 | 2006-01-25 |
| 1912905340 | Alex Bouhachem | Podiatrist | 10801 W Warren Ave, Dearborn, MI 48126-1191 | 2005-07-11 |
| 1962045161 | Michigans Premier Foot and Ankle Pllc | Podiatrist | 17000 Executive Plaza Dr Ste 101, Dearborn, MI 48126-2793 | 2019-10-21 |
| 1174012728 | Ana Groups LLC | Podiatrist | 4309 Calhoun St, Dearborn, MI 48126 | 2018-05-08 |
| 1962885699 | Alaa Naim Mansour | Podiatrist | 17000 Executive Plaza Dr Ste 101, Dearborn, MI 48126-2793 | 2015-06-30 |
| 1285016923 | Benjamin Joseph Getz | Podiatrist | 5250 Auto Club Dr Ste 200, Dearborn, MI 48126 | 2015-06-18 |
| 1386907186 | Nicole M Brouyette | Podiatrist | 19401 Hubbard Dr, Suite 101, Dearborn, MI 48126-2641 | 2012-06-18 |
| Find all providers in DEARBORN | ||||
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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.