Bruce Kallou (NPI# 1578806253, PAC ID# 6709187479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1578806253 |
| PAC ID by PECOS | 6709187479 |
| Professional Enrollment ID | I20161013000908 |
| Full Name | Bruce Kallou |
| Organization Legal Name | FOOT HEALTHCARE ASSOCIATES, PC |
| Address |
26850 Providence Pkwy Suite 502 Novi MI 48374-1267 |
| Phone Number | 2482580001 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5294705059 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230002 | ST MARY MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1267 | 2482580001 | FOOT HEALTHCARE ASSOCIATES, PC |
| Organization Legal Name | FOOT HEALTHCARE ASSOCIATES, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sophia Barnett | Podiatry | Foot Healthcare Associates, PC | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1267 |
| Jason M St John | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Neal A Mozen | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Matthew Larry German | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Thomas J Belken | Podiatry | Foot Healthcare Associates, PC | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1267 |
| Street Address |
26850 PROVIDENCE PKWY SUITE 502 |
| City | NOVI |
| State | MI |
| Zip | 48374-1267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Usha M Singhi | Internal Medicine | Ascension Providence Hospital | 26850 Providence Pkwy, Novi, MI 48374-1213 |
| Serge A Sorser | Gastroenterology | 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1261 | |
| Sophia Barnett | Podiatry | Foot Healthcare Associates, PC | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1267 |
| Megan Schram | Nurse Practitioner | Infinity Primary Care, LLC | 26850 Providence Pkwy, Suite 370, Novi, MI 48374-1262 |
| Nafisa K Kuwajerwala | General Surgery | 26850 Providence Pkwy, Suite 504, Novi, MI 48374-1267 | |
| Robert Carter | Family Medicine | Infinity Primary Care, LLC | 26850 Providence Pkwy, Suite 375, Novi, MI 48374-1262 |
| Peter M Mccann | Ophthalmology | Eye Care Associates PC | 26850 Providence Pkwy, Suite 150, Novi, MI 48374-1254 |
| Phillip A Goldmeier | Gastroenterology | Digestive Health Consultants Plc | 26850 Providence Pkwy, Suite 510, Novi, MI 48374-1267 |
| Edward E Barton | Urology | 26850 Providence Pkwy, Suite 470, Novi, MI 48374-1265 | |
| David A Knesek | Orthopedic Surgery | Ascension Providence Hospital | 26850 Providence Pkwy, Suite 260, Novi, MI 48374-1256 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Farley | Family Medicine | Primecare On Wixom Pllc | 27250 Wixom Rd A, Novi, MI 48374-1116 |
| Braswell Deen | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kirouac | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Ashwini Mahindrakar | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211 |
| Victoria N Dooley | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Amy R Shepard | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Diana A Haidar | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kimpson | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Lorenzo Ray M Lim | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Terri Ann Kovacic | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 26750 Providence Pkwy, Suite 100, Novi, MI 48374-1211 |
| Find all physicians in zip 48374 | |||
| City | NOVI |
| Zip Code | 48374 |
| Specialty | PODIATRY |
| City + Specialty | NOVI + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.