GREAT LAKES FOOT CARE P.C. (NPI# 1528330420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528330420 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES FOOT CARE P.C. |
| Practice Address |
1701 Baldwin Ave B Pontiac MI 48340-3412 |
| Practice Telephone | 2483383668 |
| Practice Fax Number | 2483380136 |
| Mailing Telephone | 2483383668 |
| Mailing Fax Number | 2483380136 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | DR. STEVEN BINDER (PRESIDENT) |
| Authorized Official Telephone | 2483383668 |
| 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 |
5901001138 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 5630125 | 01 |
| MI | 1536220 | 05 |
| Street Address |
1701 BALDWIN AVE B |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664254 | Deborah Lynne Eckert | Nurse Practitioner | 1701 Baldwin Ave, Suite 101, Pontiac, MI 48340-3412 | 2005-07-26 |
| 1881189918 | Mackenzie Bedor | Social Worker | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2018-07-01 |
| 1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
| 1780044131 | Molly Mitchell | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-02-27 |
| 1578931630 | Arlie Land | Pharmacist | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2015-09-07 |
| 1912237512 | Louis D Soverinsky D.o. Pllc | Clinic/Center | 1701 Baldwin Ave, Suite 203, Pontiac, MI 48340-3412 | 2010-01-04 |
| 1295981470 | Deshonda Shonta Tyynismaa | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-08-07 |
| 1184892143 | Pine Knob Pharmacy #6 | Durable Medical Equipment & Medical Supplies | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-02-13 |
| 1295931517 | Arnold C. Fellman, M.d., P.C. | Dermatology | 1701 Baldwin Ave, Suite 207, Pontiac, MI 48340-3412 | 2007-06-24 |
| 1053496554 | Steven R Binder | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992792261 | Scott B O'connor | Podiatrist | 1512 W Reynolds St Ste A, Pontiac, IL 61764-9788 | 2005-10-03 |
| 1154828689 | Cody R Ingram | Podiatrist | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-04-11 |
| 1215465034 | Rishi Mahajan | Podiatrist | 50 N Perry St, Pontiac, MI 48342-2217 | 2017-05-24 |
| 1447563218 | Robert Monfore | Podiatrist | 50 N Perry St, Pontiac, MI 48342-2217 | 2010-07-21 |
| 1609064369 | Pro Podiatry, LLC | Podiatrist | 1512 W Reynolds St, Suite A, Pontiac, IL 61764-9781 | 2007-10-09 |
| 1053496554 | Steven R Binder | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
| 1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
| 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 |
| 1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
| 1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
| 1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
| 1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
| 1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
| 1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
| 1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
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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.