LEE K GOLD DPM PC (NPI# 1942405501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942405501 |
Entity Type | Organization |
Organization Name | LEE K GOLD DPM PC |
Practice Address |
5889 Whitmore Lake Rd Ste A Brighton MI 48116-1998 |
Mailing Address |
5889 Whitmore Lake Rd Suite 1 Brighton MI 48116-1998 |
Practice Telephone | 8102274155 |
Practice Fax Number | 8102270845 |
Mailing Telephone | 8102274155 |
Mailing Fax Number | 8102270845 |
Enumeration Date | 2007-06-15 |
Last Update Date | 2019-01-23 |
Authorized Official Name | LEE KEVIN GOLD (OWNER) |
Authorized Official Telephone | 8102274155 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
LG400121 | MI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS BLUE SHIELD | 480D710370 | 01 |
Street Address |
5889 WHITMORE LAKE RD STE A |
City | BRIGHTON |
State | MI |
Zip Code | 48116-1998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730272915 | Ignazio Dominic Perna | Podiatrist | 5889 Whitmore Lake Rd Ste A, Brighton, MI 48116-1998 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
Find all providers in zip 48116 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639582851 | Meaghan Stoinski | Podiatrist | 9562 Sheltering Oaks Dr, Brighton, MI 48114-6826 | 2014-06-05 |
1821351263 | David A Sipala | Podiatrist | 11 Nevins St Ste 501, Brighton, MA 02135-3514 | 2012-06-20 |
1770752024 | Platte Valley Foot and Ankle Clinic P.C. | Podiatrist | 36 S 18th Ave Ste H, Brighton, CO 80601-2452 | 2008-02-20 |
1730272915 | Ignazio Dominic Perna | Podiatrist | 5889 Whitmore Lake Rd Ste A, Brighton, MI 48116-1998 | 2006-10-02 |
1790895886 | Gerald Gold Dpm PC | Podiatrist | 455 E Grand River, Suite 202, Brighton, MI 48116 | 2006-08-30 |
1942826086 | Melissa Foster | Podiatrist | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-06-24 |
1487270948 | Samantha Zdanowicz | Podiatrist | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-06-22 |
1134787054 | Bjc Foot and Ankle PC | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114-7326 | 2019-06-05 |
1902367543 | Mark Mashni | Podiatrist | 736 Cambridge St, Brighton, MA 02135-2907 | 2019-03-27 |
1184185951 | Nassim Tabrizi | Podiatrist | 736 Cambridge St, Brighton, MA 02135-2907 | 2019-03-26 |
Find all providers in BRIGHTON |
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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.