DR. MICHAEL R METYK (NPI# 1043292378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043292378 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R METYK |
| Credential | DPM |
| Practice Address |
3191 Harbor Blvd Unit D Port Charlotte FL 33952-6755 |
| Practice Telephone | 9416131919 |
| Practice Fax Number | 9416134077 |
| Mailing Telephone | 9416131919 |
| Mailing Fax Number | 9416134077 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2884 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UHC | 2700250 | 01 |
| FL | RAILROAD MEDICARE | 480031773 | 01 |
| FL | 340547800 | 05 | |
| FL | RAILROAD MEDICARE | P00259291 | 01 |
| FL | BCBS | 65672 | 01 |
| Street Address |
3191 HARBOR BLVD UNIT D |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336134717 | Phillip V Carracher | Social Worker | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2005-09-13 |
| 1770063034 | Ellen Ferguson | Counselor | 3191 Harbor Blvd, Port Charlotte, FL 33952-6755 | 2018-08-16 |
| 1225400294 | Dna Comprehensive Therapy Services, LLC | Behavioral Analyst | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2015-10-29 |
| 1215275649 | Medic Infusion Pa | Podiatrist | 3191 Harbor Blvd, Unit D, Port Charlotte, FL 33952-6755 | 2013-01-18 |
| 1528354255 | Tetyana Metyk | Internal Medicine | 3191 Harbor Blvd, Port Charlotte, FL 33952-6755 | 2011-06-21 |
| 1619283033 | Charlotte County Medical Solutions Inc | Pain Medicine | 3191 Harbor Blvd, Suite C, Port Charlotte, FL 33952-6755 | 2010-08-23 |
| 1871770701 | Sandra Anne Landers | Social Worker | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2008-01-22 |
| 1093991101 | Medic Podiatry and Wound Care | Podiatrist | 3191 Harbor Blvd, Unit D, Port Charlotte, FL 33952-6755 | 2008-01-18 |
| 1174727812 | David M Kanuck D P M Pa | Podiatrist | 3191 Harbor Blvd, Ste B, Port Charlotte, FL 33952-6755 | 2007-06-14 |
| 1053514604 | Delia G. Toledo | Psychiatry & Neurology | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| 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 |
|---|---|---|---|---|
| 1952579765 | Robert M Case, Dpm | Podiatrist | 2866 Tamiami Trl Ste C, Port Charlotte, FL 33952-5165 | 2008-02-14 |
| 1396871307 | Roberto E Puente Dpm Pllc | Podiatrist | 21300 Gertrude Ave Ste 3, Port Charlotte, FL 33952-5002 | 2007-02-26 |
| 1093829905 | Patrick Chernesky | Podiatrist | 2826 Tamiami Trl, Suite 5, Port Charlotte, FL 33952-5167 | 2006-08-18 |
| 1548226384 | Medic Infusion Inc | Podiatrist | 1441 Tamiami Trl, Suite 341, Port Charlotte, FL 33948-1098 | 2006-04-21 |
| 1568451045 | Frank Louis Lepore | Podiatrist | 2400 Harbor Blvd Ste 11, Port Charlotte, FL 33952-5038 | 2005-10-18 |
| 1073512695 | Robert M Case | Podiatrist | 2866 Tamiami Trl, Port Charlotte, FL 33952-5126 | 2005-07-15 |
| 1073059507 | Charlotte County Foot Clinics LLC | Podiatrist | 2866 Tamiami Trl, Ste C, Port Charlotte, FL 33952-5126 | 2017-01-08 |
| 1164887055 | Patrick William Chernesky | Podiatrist | 4055 Tamiami Trl, Ste 9, Port Charlotte, FL 33952-9212 | 2015-12-21 |
| 1083967772 | Nelson Carl Hulbert | Podiatrist | 2866 Tamiami Trl, Suite C, Port Charlotte, FL 33952-5126 | 2012-10-18 |
| 1093991101 | Medic Podiatry and Wound Care | Podiatrist | 3191 Harbor Blvd, Unit D, Port Charlotte, FL 33952-6755 | 2008-01-18 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.