KISHA MURRAY DREAD DPM PC (NPI# 1407988223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407988223 |
| Entity Type | Organization |
| Organization Name | KISHA MURRAY DREAD DPM PC |
| Other Organization Name | FAMILY FOOTCARE OF LINCOLN PARK |
| Practice Address |
22250 Providence Dr Suite 302 Southfield MI 48075-4825 |
| Mailing Address |
Po Box 20848 Ferndale MI 48220-0848 |
| Practice Telephone | 2485576500 |
| Practice Fax Number | 2485572781 |
| Mailing Telephone | 2485576500 |
| Mailing Fax Number | 2485572781 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | DR. KISHA MURRAY-DREAD (OWNER) |
| Authorized Official Telephone | 3139426500 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001881 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 134123036 | 05 | |
| MI | TAX ID# | 383484379 | 01 |
| Other Name | Type Code |
|---|---|
| Family Footcare of Lincoln Park | Doing Business As Name - Organization |
| Street Address |
22250 PROVIDENCE DR SUITE 302 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981071 | Anthony Edward Boutt | Obstetrics & Gynecology | 22250 Providence Dr, 408, Southfield, MI 48075-4825 | 2005-06-02 |
| 1871110015 | Abbas Chehab | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-07-04 |
| 1013531854 | Anicia Mirchandani | Radiology | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-06 |
| 1285258442 | Kidist Tamirat Arficho | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-03 |
| 1386268035 | Denas Andrijauskis | Surgery | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-05-28 |
| 1669030748 | Cyrus Garmo | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2019-06-03 |
| 1922661297 | Ammar Hassen Alsalahi | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Suite #601, Southfield, MI 48075-4814 | 2019-04-22 |
| 1265963797 | Cameron Whitler | Internal Medicine | 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 | 2017-03-26 |
| 1144671082 | Jessica Anne Hudson | Family Medicine | 22250 Providence Dr, Ste. 500, Southfield, MI 48075-4825 | 2016-06-22 |
| 1689024960 | Yessar Takruri | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1841470291 | Neil F Hertzberg Dpm | Podiatrist | 17288 W 12 Mile Rd, Southfield, MI 48076-2138 | 2007-11-13 |
| 1144333006 | Leonard Yourofsky | Podiatrist | 25811 West 12 Mile Road, Ste 205, Southfield, MI 48034 | 2006-08-16 |
| 1336179506 | Barry Bean | Podiatrist | 21721 W 11 Mile Rd, Southfield, MI 48076-3717 | 2006-07-04 |
| 1104865476 | Jason Bernard James Kurek | Podiatrist | 17515 West 9 Mile Rd, Suite 340, Southfield, MI 48075 | 2006-06-05 |
| 1538720958 | Zef Markaj | Podiatrist | 22401 Foster Winter Dr, Southfield, MI 48075-3724 | 2019-06-26 |
| 1730749961 | Krista Kotzeva | Podiatrist | 22401 Foster Winter Dr, Southfield, MI 48075-3724 | 2019-06-19 |
| 1821512930 | Foot & Ankle Institute of Michigan Pllc | Podiatrist | 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 | 2017-07-31 |
| 1306371588 | Joshua Kazdan | Podiatrist | 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 | 2017-04-26 |
| 1629449152 | Urban Health Care Group Pllc | Podiatrist | 23999 Northwestern Hwy, Ste 220, Southfield, MI 48075-2578 | 2015-10-09 |
| 1790161313 | Shazia Malik | Podiatrist | 23999 Northwestern Hwy, Suite 220, Southfield, MI 48075 | 2015-08-05 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on KISHA MURRAY DREAD DPM PC.
| 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.