ALAA NAIM MANSOUR (NPI# 1962885699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962885699 |
| Entity Type | Individual |
| Full Name | ALAA NAIM MANSOUR |
| Credential | D.P.M |
| Practice Address |
17000 Executive Plaza Dr Ste 101 Dearborn MI 48126-2793 |
| Mailing Address |
17000 Executive Plaza Dr Ste 101 Dearborn MI 48126-2793 |
| Practice Telephone | 3135654948 |
| Practice Fax Number | 3135654989 |
| Mailing Telephone | 3135654948 |
| Mailing Fax Number | 3135654989 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002591 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300013898 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17000 Executive Plaza Dr Ste 101, Dearborn, MI 481262793 | 3135654948 | 3135654989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896608 | Alaa G Mansour | Family Medicine | 19011 E 10 Mile Rd, Roseville, MI 48066-3984 | 2005-10-24 |
| Street Address |
17000 EXECUTIVE PLAZA DR STE 101 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591028 | Jiab Suleiman | Orthopaedic Surgery | 17000 Executive Plaza Dr Ste 101, Dearborn, MI 48126-2793 | 2006-03-08 |
| 1962045161 | Michigans Premier Foot and Ankle Pllc | Podiatrist | 17000 Executive Plaza Dr Ste 101, Dearborn, MI 48126-2793 | 2019-10-21 |
| 1598965543 | Jiab Suleiman, Do, P.C. | Orthopaedic Surgery | 17000 Executive Plaza Dr Ste 101, Dearborn, MI 48126-2793 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932642170 | Premier Podiatry Pllc | Podiatrist | 24327 Ford Rd Ste 1, Dearborn, MI 48128-1129 | 2016-11-21 |
| 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 |
| 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.