DR. BRUCE TABAK (NPI# 1003988577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003988577 |
| Entity Type | Individual |
| Full Name | DR. BRUCE TABAK |
| Credential | D.P.M. |
| Practice Address |
129 S Washington St Oxford MI 48371-4981 |
| Practice Telephone | 2486281880 |
| Practice Fax Number | 2486281881 |
| Mailing Telephone | 2486281880 |
| Mailing Fax Number | 2486281881 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901400128 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1648173 | 05 | |
| MI | BLUE CROSS OF MICHIGAN | 5635090 | 01 |
| MI | 3142556 | 05 |
| Street Address |
129 S WASHINGTON ST |
| City | OXFORD |
| State | MI |
| Zip Code | 48371-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679956130 | Danielle Doman | Dentist | 129 S Washington St, Oxford, MI 48371-6436 | 2015-07-02 |
| 1093901795 | Bruce Tabak, D.p.m. | Prosthetic/Orthotic Supplier | 129 S Washington St, Oxford, MI 48371-4981 | 2007-09-18 |
| 1366518185 | Associated Dentists PC | Dentist | 129 S Washington St, Oxford, MI 48371 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164915005 | Robyn Marie Ankawi | Counselor | 930 E Drahner Rd, Oxford, MI 48371 | 2018-06-13 |
| 1225557184 | Laurie Bueche | Social Worker | 1450 S Lapeer Road, Oxford, MI 48371 | 2017-09-12 |
| 1417480708 | Adam Renard Burton | Student in an Organized Health Care Education/Training Program | 801 Vivian Ln, Oxford, MI 48371 | 2017-04-04 |
| 1104378926 | Kayla Lynn Thrushman | Counselor | 2b. S. Washington Ave., Oxford, MI 48371 | 2016-10-27 |
| 1588092191 | J&j Medical, Inc. | Durable Medical Equipment & Medical Supplies | 141 Cheltenham Ln, Oxford, MI 48371 | 2013-10-16 |
| 1801232368 | Angela Mary Ramsey | Social Worker | 1450 N Lapeer Rd, Oxford, MI 48371 | 2013-05-10 |
| 1598040271 | Walgreen Co | Pharmacy | 7110 Dixie Hwy., Clarkston, MI 48371 | 2011-10-13 |
| 1417108945 | Best Value Pharmacy LLC | Pharmacy | 72 S Oxford, Suite 207, Oxford, MI 48371 | 2008-10-02 |
| 1497953533 | Rachel Maryann Klamo | Family Medicine | 72 South Washington St., Suite 204, Oxford, MI 48371 | 2007-07-10 |
| 1528185378 | Gregory Michael Garvin | Preventive Medicine | 760 Woodleigh Way, Oxford, MI 48371 | 2007-03-26 |
| Find all providers in zip 48371 | ||||
| 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 |
|---|---|---|---|---|
| 1518527688 | Ortho Express Holding Company, LLC | Podiatrist | 1200 Office Park Dr, Oxford, MS 38655-3597 | 2019-06-19 |
| 1285701649 | Irwin Mann | Podiatrist | 375 Nuttal Branch, Oxford, MI 48371-6367 | 2006-11-29 |
| 1922018522 | Chris A Hoyland | Podiatrist | 10049 Ketch Kay Ln, Oxford, FL 34484-8701 | 2006-08-08 |
| 1174557466 | Carey Williams | Podiatrist | 1735 University Ave, Oxford, MS 38655-4109 | 2006-07-10 |
| 1093742389 | North Mississippi Foot Specialists, PC | Podiatrist | 1735a University Ave, Oxford, MS 38655-4109 | 2006-06-26 |
| 1477521987 | Chris A. Varva | Podiatrist | 2168 S Lamar Blvd, Practice Location-not Mailing Address, Oxford, MS 38655-5224 | 2006-03-09 |
| 1285863852 | Millicent Brown | Podiatrist | 103 Professional Park, Suite B, Oxford, NC 27565-2581 | 2009-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
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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.