DR. MICHAEL JOSPEH ACKLEY (NPI# 1114928074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114928074 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSPEH ACKLEY |
| Credential | DPM |
| Practice Address |
714 S Main St Cheshire CT 06410-3448 |
| Practice Telephone | 2032710556 |
| Practice Fax Number | 2032509951 |
| Mailing Telephone | 2032710556 |
| Mailing Fax Number | 2032509951 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-11-14 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
395 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
395 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
395 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 395 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BCBS | 030000395CT01 | 01 |
| CT | AETNA | 2721297 | 01 |
| CT | FIRST CHOICE PREF ONE | 129286 | 01 |
| CT | MEDICARE RAILROAD | 480028957 | 01 |
| CT | CIGNA | 0542290 | 01 |
| CT | CONNECTICARE | 787023 | 01 |
| CT | 4068714 | 05 | |
| CT | WELLCARE | 129286 | 01 |
| CT | HEALTHNET | 2V1300 | 01 |
| CT | OXFORD HEALTH PLAN | NHS221 | 01 |
| Street Address |
714 S MAIN ST |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053400176 | Foot Health Center, LLC | Durable Medical Equipment & Medical Supplies | 714 S Main St, Cheshire, CT 06410-3448 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609354372 | Riverside Podiatry,llc | Podiatrist | 11 Westridge Dr, Avon, CT 06001-3648 | 2018-08-03 |
| 1104236199 | Sean Wayne Lazarus D.p.m. LLC | Podiatrist | 764 Campelle Ave, Unitg, West Haven, CT 06516-3786 | 2014-04-30 |
| 1588957872 | Mt Podiatry, LLC | Podiatrist | 1021 Asylum Ave, Apt 407, Hartford, CT 06105-2436 | 2011-05-19 |
| 1497817118 | Michael Connor | Podiatrist | 27 Danbury Rd Fl 3, Wilton, CT 06897-4405 | 2006-12-16 |
| 1629012661 | Thomas M Domanick | Podiatrist | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2006-06-16 |
| 1659320711 | Todd Allen Bell | Podiatrist | 57 Jolley Dr, Unit A, Bloomfield, CT 06002-3062 | 2006-05-08 |
| 1831194042 | Karana Marie Pierre | Podiatrist | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2005-06-15 |
| 1205479243 | Nili T Harpaz | Podiatrist | 309 Seaside Ave, Milford, CT 06460-4625 | 2019-10-22 |
| 1205489077 | St Vincents Multispecialty Group Inc | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2019-07-22 |
| 1215271713 | Primed, LLC | Podiatrist | 4699 Main St, Suite 211, Bridgeport, CT 06606-1830 | 2012-11-21 |
| 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.