DR. CHARLES GREGORY KISSEL


Address: 29433 Ryan Rd, Warren, MI 48092-2203
Phone: 5865740500

DR. CHARLES GREGORY KISSEL (NPI# 1982606414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982606414
Entity Type Individual
Full Name DR. CHARLES GREGORY KISSEL
Credential DPM
Practice Address 29433 Ryan Rd
Warren
MI 48092-2203
Practice Telephone 5865740500
Practice Fax Number 5865742694
Mailing Telephone 5865740500
Mailing Fax Number 5865742694
Enumeration Date 2005-08-15
Last Update Date 2014-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
5901000960 MI Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI UPIN T34053 01
MI BCBSM 480E011810 01
MI BCBSM 480F335300 01
MI BCBSM 480F330020 01
MI 2932693 05
MI 4949617 05
MI BCBSM 480Q24567 01
MI 1715614 05
MI 4585272 05

Office Location

Street Address 29433 RYAN RD
City WARREN
State MI
Zip Code 48092-2203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285981035 Erik Charles Kissel Podiatrist 29433 Ryan Rd, Warren, MI 48092-2203 2012-08-11
1740544683 Brian Gregory Kissel Podiatrist 29433 Ryan Rd, Warren, MI 48092-2203 2012-06-26
1043498652 Charles G Kissel Dpm PC Podiatrist 29433 Ryan Rd, Warren, MI 48092-2203 2008-02-06
1013001221 Charles G Kissel Dpm PC Podiatrist 29433 Ryan Rd, Warren, MI 48092-2203 2006-10-03
1790880284 Aimee Antoinette Popofski Podiatrist 29433 Ryan Rd, Warren, MI 48092-2203 2006-09-13
1598767022 Michael Schey Podiatrist 29433 Ryan Rd, Warren, MI 48092-2203 2005-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881163186 Katherine Byrd Behavior Technician 3691 East 11 Mile Rd., Warren, MI 48092 2018-11-15
1861980302 Mark Paul Azzo Home Health Aide 27605 Walker Ave, Warren, MI 48092 2018-04-30
1144747130 Joseph Galutan Estrada Chiropractor 4846 Marlow Dr, Warren, MI 48092 2017-08-29
1649669425 Lawrence Mosurak IIi Chiropractor 6201 Chicago Road, Warren, MI 48092 2015-01-15
1174911713 Kimberly A Ott Nurse Practitioner 28800 Ryan Rd Suite 320, Warren, MI 48092 2015-01-06
1487071999 Michele Szandzik Chiropractor 2243 East 12 Mile Rd, Warren, MI 48092 2014-03-21
1962827311 Mouradian Dental Center, D.d.s., P.C. Dentist 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 2014-02-21
1639495930 Debra Kay Wenneman Physical Therapist 28776 Ryan Rd, Warren, MI 48092 2010-04-12
1922332923 Sonia Amirali Pethani Physical Therapist 2117 E. Eleven Mile Rd., Warren, MI 48092 2009-09-23
1881822237 Michael Patrick Walsh Orthopaedic Surgery 28800 Ryan Rd Ste 310, Warren, MI 48092 2009-06-24
Find all providers in zip 48092

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134501885 Jamie L Matteo Dpm, Inc Podiatrist 628 Niles Cortland Road Se Suite 103, Warren, OH 44484-2473 2015-06-18
1962841544 Siraj Panchbhaiya Podiatrist 11900 E 12 Mile Rd Ste 102, Warren, MI 48093-3487 2013-06-18
1194061002 Advanced Podiatry Ankle & Footcare Centers Inc Podiatrist 4441 Mahoning Ave Nw Ste A, Warren, OH 44483-1976 2012-12-20
1336389519 Cara Christine Dunbar Kalogerou Podiatrist 628 Niles Cortland Rd Se Ste 103, Warren, OH 44484-2473 2009-02-27
1588804132 Kenneth James Donovan Podiatrist 9 Mount Bethel Rd, Suite 9, Warren, NJ 07059-5603 2009-02-23
1437124492 A Caring Podiatrist Inc Podiatrist 2900 Elm Road Ne, Warren, OH 44483 2006-02-22
1194703157 Diana G Karnavas Podiatrist 4441 Mahoning Ave Nw, Suite A, Warren, OH 44483-1932 2006-01-09
1073008371 Firras Garada Podiatrist 21230 Dequindre Rd, Warren, MI 48091-2279 2018-06-28
1326531377 Giulia Consulting Pllc Podiatrist 4050 E 12 Mile Rd, Warren, MI 48092-2534 2018-06-13
1477074904 Seyed Sadegh Arab Podiatrist 21230 Dequindre Rd, Warren, MI 48091-2279 2017-07-06
Find all providers in WARREN

Competitor

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City WARREN
Zip Code 48092

Improve Information

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Dataset Information

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.

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