KENT PODIATRY (NPI# 1982029716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982029716 |
| Entity Type | Organization |
| Organization Name | KENT PODIATRY |
| Practice Address |
1238 Fuller Ave Ne Grand Rapids MI 49505-5533 |
| Mailing Address |
4310 Leonard St Nw Suite 103 Walker MI 49534-8447 |
| Practice Telephone | 6164520467 |
| Mailing Telephone | 6164536329 |
| Mailing Fax Number | 6164531725 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | MICHAEL EMILEY (PHYSICIAN) |
| Authorized Official Telephone | 6164520467 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1238 FULLER AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487612610 | Terrence J Emiley | Surgery | 1238 Fuller Ave Ne, Grand Rapids, MI 49505-5533 | 2006-05-04 |
| 1740571686 | Michael Emiley | Podiatrist | 1238 Fuller Ave Ne, Grand Rapids, MI 49505-5533 | 2011-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| 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 |
|---|---|---|---|---|
| 1699839365 | Martin G Hoffmeister | Podiatrist | 2501 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49505-3700 | 2006-12-20 |
| 1376638114 | Michael J Trompen | Podiatrist | 4915 Cascade Rd Se, Grand Rapids, MI 49546 | 2006-10-04 |
| 1255432977 | Rodney Ray Senneker | Podiatrist | 6703 S Division Ave, Grand Rapids, MI 49548 | 2006-09-26 |
| 1144330556 | Anthony J Kirk | Podiatrist | 2050 Breton Rd Se, Suite 105, Grand Rapids, MI 49546-5547 | 2006-08-30 |
| 1235116872 | Alpine Family Podiatry PC | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-24 |
| 1407833049 | Croswell Podiatry Pllc | Podiatrist | 2460 Burton St Se, Suite 200, Grand Rapids, MI 49546-4800 | 2005-12-24 |
| 1740282409 | David Smith | Podiatrist | 56 Benjamin Ave Se, Grand Rapids, MI 49506-1628 | 2005-08-12 |
| 1205155819 | Nathaniel J Voshel Dpm | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2010-05-21 |
| 1558590471 | Sandeep Kaur Bains | Podiatrist | 3355 Eagle Park Dr Ne, Suite 105, Grand Rapids, MI 49525-7004 | 2009-07-13 |
| 1467625723 | Podiatry West Senior Foot Care Services Pllc | Podiatrist | 56 Benjamin Ave Se, Grand Rapids, MI 49506-1628 | 2008-04-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on KENT PODIATRY.
| 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.