KYLE WAYNE SUNDBLAD (NPI# 1205813797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205813797 |
| Entity Type | Individual |
| Full Name | KYLE WAYNE SUNDBLAD |
| Credential | DPM |
| Practice Address |
9001 15 Mile Rd Suite A Sterling Heights MI 48312-3611 |
| Practice Telephone | 5869790560 |
| Practice Fax Number | 5869798766 |
| Mailing Telephone | 5869790560 |
| Mailing Fax Number | 5869798766 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901002053 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPIN (DME) | 0621950001 | 01 | |
| MI | 4522531 | 05 | |
| MI | BCBS | 5501004 | 01 |
| Street Address |
9001 15 MILE RD SUITE A |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48312-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831308 | Walter Barry Coleman | Podiatrist | 9001 15 Mile Rd, Ste A, Sterling Heights, MI 48312-3611 | 2005-12-13 |
| 1063045938 | Four Star Center LLC | Physical Medicine & Rehabilitation | 9001 15 Mile Rd, Sterling Heights, MI 48312-3621 | 2020-02-19 |
| 1598934952 | Dr. Walter B Coleman P.C. | Durable Medical Equipment & Medical Supplies | 9001 15 Mile Rd, Suite A, Sterling Heights, MI 48312-3611 | 2008-02-29 |
| 1205974425 | Dr. Walter B. Coleman PC | Durable Medical Equipment & Medical Supplies | 9001 15 Mile Rd, Sterling Heights, MI 48312-3611 | 2007-02-01 |
| 1972676310 | Velko Dimovich | Dentist | 9001 15 Mile Rd, Ste B, Sterling Heights, MI 48312-3611 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
| 1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
| 1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
| 1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
| 1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
| 1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
| 1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
| 1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
| Find all providers in zip 48312 | ||||
| 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 |
|---|---|---|---|---|
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1972676047 | Sterling Heights Foot Care, P.C. | Podiatrist | 43330 Mound Road, Sterling Heights, MI 48314-2022 | 2006-11-16 |
| 1386741510 | Leslie Denise Highland | Podiatrist | 37767 Chase Run Dr, Sterling Heights, MI 48310-4000 | 2006-09-20 |
| 1801992557 | Ascension Medical Group Michigan | Podiatrist | 13935 Plumbrook Rd, Sterling Heights, MI 48312-1727 | 2006-09-16 |
| 1275559338 | Thomas Ball Jr. | Podiatrist | 37506 Dequindre Rd, Sterling Heights, MI 48310-3511 | 2006-07-14 |
| 1053381897 | Marvin Aronovitz | Podiatrist | 13479 E 14 Mile Rd, Sterling Heights, MI 48312-6304 | 2006-01-24 |
| 1700863313 | David Basch | Podiatrist | 43330 Mound Rd, Sterling Heights, MI 48314-2022 | 2005-12-23 |
| 1407831308 | Walter Barry Coleman | Podiatrist | 9001 15 Mile Rd, Ste A, Sterling Heights, MI 48312-3611 | 2005-12-13 |
| 1073519047 | William Michael Bennett | Podiatrist | 13935 Plumbrook Road, Sterling Heights, MI 48312 | 2005-06-24 |
| 1053858217 | Dr Kyle W Sundblad PC | Podiatrist | 41400 Dequindre Rd, Ste 100, Sterling Heights, MI 48314-3763 | 2017-01-26 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48312 |
Please comment or provide details below to improve the information on KYLE WAYNE SUNDBLAD.
| 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.