GFC OF SOUTHEASTERN MICHIGAN, PC (NPI# 1316191679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316191679 |
| Entity Type | Organization |
| Organization Name | GFC OF SOUTHEASTERN MICHIGAN, PC |
| Practice Address |
15 E Kirby St Suite 102 Detroit MI 48202-4047 |
| Practice Telephone | 3138333090 |
| Practice Fax Number | 3138337843 |
| Mailing Telephone | 3138333090 |
| Mailing Fax Number | 3138337843 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | DR. MANISHA MEHTA (PHYSICIAN) |
| Authorized Official Telephone | 3138333090 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002275 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE NPI | 1316191679 | 01 |
| MI | 1417136029 | 05 | |
| MI | PROCARE | 82028141 | 01 |
| Street Address |
15 E KIRBY ST SUITE 102 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431963 | C.a.r.e. Chiropractic | Chiropractor | 15 E Kirby St, Suite 111, Detroit, MI 48202-4047 | 2006-07-19 |
| 1477174589 | Ltd Psychological Services | Clinic/Center | 15 E Kirby St, Suite 107b, Detroit, MI 48202-4043 | 2020-04-29 |
| 1831630342 | Authentic Living Psychotherapy LLC | Social Worker | 15 E Kirby St, Ste 107 C, Detroit, MI 48202-4047 | 2017-03-16 |
| 1417136029 | Manisha Mehta | Podiatrist | 15 E Kirby St, Suite 102, Detroit, MI 48202-4047 | 2007-10-31 |
| 1700947892 | Heather Beth Brown | Counselor | 15 E Kirby St, Suite 107e, Detroit, MI 48202-4047 | 2006-12-12 |
| 1518989979 | Soni Wilson | Chiropractor | 15 E Kirby St, Suite 111, Detroit, MI 48202-4047 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155576 | Chinenye Ezike | Podiatrist | 22201 Moross Rd Ste 250, Detroit, MI 48236-2175 | 2016-06-15 |
| 1700048931 | Melissa Laura Allen | Podiatrist | 3430 E Jefferson Ave, 523, Detroit, MI 48207-4233 | 2008-06-29 |
| 1942491857 | Michigan Foot Surgeons, P.C. | Podiatrist | 12720 W 7 Mile Rd, Detroit, MI 48235-1301 | 2007-08-06 |
| 1649329590 | Stuart E Kirschenbaum | Podiatrist | 8319 Grand River Ave, Detroit, MI 48204-2231 | 2007-01-09 |
| 1639255946 | Stuart Edward Kirschenbaum | Podiatrist | 3031 W Grand Blvd Ste 423, Detroit, MI 48202-3141 | 2006-10-29 |
| 1679667620 | Cohen Podiatry PC | Podiatrist | 7633 E Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-03 |
| 1134212889 | Herbert Bircoll | Podiatrist | 7633 E. Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-02 |
| 1801905518 | Philip Edward Holmes | Podiatrist | 4646 John R. St, John Dingell Va Medical Center, Dept. of Surgery, Detroit, MI 48201 | 2006-08-29 |
| 1487678686 | Christopher Michael Fallu | Podiatrist | 6795 W Vernor Hwy, Detroit, MI 48209-1551 | 2006-07-27 |
| 1457385841 | Larry Weiss Dpm PC | Podiatrist | 17421 Greenfield, Detroit, MI 48235 | 2006-07-10 |
| Find all providers in DETROIT | ||||
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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.