DR. GENE CAICCO (NPI# 1568462133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568462133 |
| Entity Type | Individual |
| Full Name | DR. GENE CAICCO |
| Credential | DPM |
| Practice Address |
11900 E 12 Mile Rd Suite 102 Warren MI 48093-3400 |
| Practice Telephone | 5865737470 |
| Practice Fax Number | 5865730850 |
| Mailing Telephone | 5865737470 |
| Mailing Fax Number | 5865730850 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2011-10-27 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | GC001745 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PPOM | 383523897 | 01 |
| MI | 4246887 | 05 | |
| MI | ST JOHN SMART PLAN | 383523897 | 01 |
| MI | UNITED HEALTH CARE | 383523897 | 01 |
| MI | BCBSM | 5901001745 | 01 |
| Street Address |
11900 E 12 MILE RD SUITE 102 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720276 | Stuart R Gildenberg | Dermatology | 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 | 2005-06-16 |
| 1902459159 | Tammy Jean Cass | Registered Nurse | 11900 E 12 Mile Rd, Warren, MI 48093-3400 | 2019-07-17 |
| 1437715026 | Dalia Hasso | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd, Warren, MI 48093-3400 | 2019-05-19 |
| 1174070577 | Hayley Foster | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2016-09-02 |
| 1063872877 | Andrew Cox | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2016-03-07 |
| 1194115402 | Lingareddy Devireddy Md PC | Clinic/Center | 11900 E 12 Mile Rd, Suite 103, Warren, MI 48093-3400 | 2015-01-26 |
| 1538561469 | Erica Williams | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2014-09-23 |
| 1578994737 | Mendelson Orthopedics | Orthopaedic Surgery | 11900 E 12 Mile Rd, Suite 105, Warren, MI 48093-3400 | 2013-12-12 |
| 1548542020 | Brittany J Miller | Physician Assistant | 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 | 2011-09-12 |
| 1285916825 | Theresa Jeanette Richardson | Physician Assistant | 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 | 2011-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1598949273 | Austintown Podiatry Associates Inc | Podiatrist | 3802 Elm Rd Ne, Warren, OH 44483-2600 | 2007-12-18 |
| 1972689586 | Nicholas Bradlee Dpm | Podiatrist | 28565 Ryan Road, Warren, MI 48092 | 2006-10-27 |
| 1891880845 | Donald M Solomon | Podiatrist | 23423 Ryan, Donald Solomon Dpm, Warren, MI 48091-1927 | 2006-10-04 |
| 1316041742 | Foot Specialists, PC | Podiatrist | 11995 E 12 Mile Rd, Ste 202b, Warren, MI 48093 | 2006-09-07 |
| 1275544132 | Rita Liebson | Podiatrist | 6 Hill Hollow Rd, Warren, NJ 07059-5535 | 2006-08-10 |
| 1023085313 | Michael Guy Warshaw | Podiatrist | 2537 E Market St, Warren, OH 44483-6257 | 2006-03-05 |
| 1699745430 | Daniel C Aronovitz | Podiatrist | 31730 Hoover Rd, Suite B, Warren, MI 48093 | 2006-01-24 |
| 1831169853 | Downriver Podiatrists, P.C. | Podiatrist | 31730 Hoover Rd Ste B, Warren, MI 48093 | 2006-01-23 |
| 1811970429 | Richard S Klimecki | Podiatrist | 30205 Schoenherr, Suite A, Warren, MI 48088 | 2005-11-29 |
| Find all providers in WARREN | ||||
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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.