PODCARE (NPI# 1114239886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114239886 |
| Entity Type | Organization |
| Organization Name | PODCARE |
| Practice Address |
21327 Harper Ave Suite C Saint Clair Shores MI 48080-2200 |
| Mailing Address |
3061 Christy Way Saginaw MI 48603-2267 |
| Practice Telephone | 9897912455 |
| Practice Fax Number | 9897912455 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911392 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |
| Authorized Official Name | STEVEN REPITOR (CEO) |
| Authorized Official Telephone | 9897912455 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SR400227 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1194760835 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972745198 | Podcare | Podiatrist | 2802 Avenue P, Brooklyn, NY 11229-1810 | 2009-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PODCARE LLC | 2802 Avenue P, Brooklyn, Ny 11229 |
| Street Address |
21327 HARPER AVE SUITE C |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
|---|---|---|---|---|
| 1043447139 | Danielle Nicole Ronyak | Podiatrist | 27593 Harper Avenue, Saint Clair Shores, MI 48081-1923 | 2009-06-16 |
| 1144267758 | Neil T Shaw | Podiatrist | 27593 Harper, Saint Clair Shores, MI 48081 | 2006-06-01 |
| 1558363812 | Richard N Goich | Podiatrist | 25630 Little Mack Ave, Suite 3, Saint Clair Shores, MI 48081-2109 | 2005-06-01 |
| 1811342421 | Philip Watkins | Podiatrist | 27593 Harper Ave, Saint Clair Shores, MI 48081-1923 | 2016-05-02 |
| 1679912968 | Adam P Thompson | Podiatrist | 27593 Harper Ave, Saint Clair Shores, MI 48081-1923 | 2013-06-19 |
| 1174884845 | Julie Anna Mrozek | Podiatrist | 27593 Harper Ave, Saint Clair Shores, MI 48081-1923 | 2012-05-30 |
| 1326312745 | Richard N. Goich D.p.m. P.C. | Podiatrist | 25630 Little Mack Ave, Suite 3, Saint Clair Shores, MI 48081-2109 | 2012-03-02 |
| 1992735252 | Anthony V Benenati Dpm PC | Podiatrist | 27593 Harper, Saint Clair Shores, MI 48081 | 2006-07-03 |
| 1053358663 | Anthony V Benenati | Podiatrist | 27593 Harper, Saint Clair Shores, MI 48081 | 2006-06-01 |
| 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 | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.