FOOTSPECIALIST PC (NPI# 1992986657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992986657 |
| Entity Type | Organization |
| Organization Name | FOOTSPECIALIST PC |
| Other Organization Name | FOOT CARE INSTITUTE OF MICHIGAN |
| Practice Address |
11885 E 12 Mile Rd Suite 202 B Warren MI 48093-3474 |
| Mailing Address |
21111 Middlebelt Rd Farmington MI 48336 |
| Practice Telephone | 5867554242 |
| Practice Fax Number | 5867556231 |
| Mailing Telephone | 2484781150 |
| Mailing Fax Number | 2484781156 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | DR. MARSHALL GREGORY SOLOMON (OWNER) |
| Authorized Official Telephone | 5867554242 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901000671 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1073253 | 05 |
| Other Name | Type Code |
|---|---|
| foot care institute of michigan | Doing Business As Name - Organization |
| Street Address |
11885 E 12 MILE RD SUITE 202 B |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711459 | Comprehensive Counseling Center PC | Clinic/Center | 11885 E 12 Mile Rd, Ste. 201a, Warren, MI 48093-3474 | 2005-06-21 |
| 1801417373 | Shayla Patton | Student in an Organized Health Care Education/Training Program | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2020-05-06 |
| 1184244352 | Jessica Frazelle Mcdaniel | Student in an Organized Health Care Education/Training Program | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2020-04-17 |
| 1710540950 | Jessica Marie Fisher | Nurse Practitioner | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2019-04-14 |
| 1285094706 | Kathleen Anne Quinn | Obstetrics & Gynecology | 11885 E 12 Mile Rd, Suite 202a, Warren, MI 48093-3474 | 2016-02-25 |
| 1770822306 | Sudhir Lingnurkar Md Plc | Psychiatry & Neurology | 11885 E 12 Mile Rd, Ste 204a, Warren, MI 48093-3474 | 2013-02-01 |
| 1871856310 | Joshua Aaron Rosenbloom | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-06-20 |
| 1710249826 | Shirley Orock Ayuk-takem | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-06-14 |
| 1053672048 | Hamid Abbas Afsari | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-06-06 |
| 1497015002 | Jake Graehm Halvorsen | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 |
| 1982606414 | Charles Gregory Kissel | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2005-08-15 |
| 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 |
| Find all providers in WARREN | ||||
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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.