SHELBY FOOT & ANKLE PLLC (NPI# 1174953335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174953335 |
| Entity Type | Organization |
| Organization Name | SHELBY FOOT & ANKLE PLLC |
| Practice Address |
G3302 Beecher Rd Flint MI 48532-3614 |
| Mailing Address |
50505 Schoenherr Rd Suite 230 Shelby Township MI 48315-3140 |
| Practice Telephone | 8102309955 |
| Practice Fax Number | 8102308838 |
| Mailing Telephone | 5865803728 |
| Mailing Fax Number | 5865803769 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |
| Authorized Official Name | RONALD MARTIN (OWNER) |
| Authorized Official Telephone | 5865803728 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
RM002147 | MI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891125050 | Shelby Foot & Ankle Pllc | Podiatrist | 7300 Dexter Ann Arbor Rd, Suite 100, Dexter, MI 48130-8598 | 2013-11-25 |
| 1578993358 | Shelby Foot & Ankle Pllc | Podiatrist | 4091 W Vienna Rd, Clio, MI 48420-9437 | 2013-11-15 |
| Street Address |
G3302 BEECHER RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780958561 | Donald C Lutz, Dpm | Podiatrist | G3302 Beecher Rd, Flint, MI 48532-3614 | 2012-02-27 |
| 1144797119 | Hope Chiropractic and Wellness, Pllc | Clinic/Center | G3302 Beecher Rd, Flint, MI 48532-3614 | 2018-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144575895 | Rebecca Jolissaint | Podiatrist | 2329 Stonebridge Dr Ste E, Flint, MI 48532-5407 | 2012-07-18 |
| 1891725818 | Community Podiatry Group, P.C. | Podiatrist | 1303 S Linden Rd Ste D, Flint, MI 48532-3442 | 2006-07-04 |
| 1144258088 | Eugene Thomas Harper | Podiatrist | 3725 S Saginaw St, Suite 110, Flint, MI 48507-4321 | 2006-06-29 |
| 1295762888 | Ronald Martin | Podiatrist | 2329 Stonebridge Dr Bldg E, Flint, MI 48532-5407 | 2006-06-27 |
| 1972504918 | Dean W Singer | Podiatrist | 1303 Linden Rd, Suite D, Flint, MI 48532 | 2005-08-01 |
| 1447251475 | David T Taylor | Podiatrist | 1303 S Linden Rd, Suite D, Flint, MI 48532 | 2005-08-01 |
| 1518497270 | Laura Beth Jamrog | Podiatrist | 1303 S Linden Rd, Flint, MI 48532-3442 | 2017-06-15 |
| 1891164638 | Christine Jarocki | Podiatrist | 5710 Clio Rd, Flint, MI 48504-1525 | 2015-09-23 |
| 1396177291 | Aarthi Bawa | Podiatrist | 915 S Dort Hwy, Flint, MI 48503 | 2013-08-01 |
| 1205043361 | Keith B Daniels Dpm PC | Podiatrist | 2811 E Court St, Flint, MI 48506-4054 | 2007-05-17 |
| Find all providers in FLINT | ||||
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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.