DR. MICHELLE KOO (NPI# 1578629770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578629770 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE KOO |
| Credential | DPM |
| Practice Address |
4302 Alton Rd Ste 300 Miami Beach FL 33140-2818 |
| Mailing Address |
1602 Alton Rd # 480 Miami Beach FL 33139-2421 |
| Practice Telephone | 3056729989 |
| Mailing Telephone | 9546498580 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | PO 3281 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO 3281 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
PO 3281 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
PO 3281 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3281 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO 3281 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340656300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930479 | Michelle Koo | Optometrist | 45485 Miramar Way, California, MD 20619-3191 | 2018-08-01 |
| Street Address |
4302 ALTON RD STE 300 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356823900 | Intelliwellness LLC | Case Management | 4302 Alton Rd Ste 300, Miami Beach, FL 33140-2818 | 2018-08-30 |
| 1427400175 | Faten Edriskhalaf | Optometrist | 4302 Alton Rd Ste 300, Miami Beach, FL 33140 | 2016-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902332208 | Manuel Garrido | Podiatrist | 4302 Alton Rd Ste 1005, Miami Beach, FL 33140-2890 | 2017-05-04 |
| 1760726798 | Rimon Health | Podiatrist | 3457 Prairie Ave, Miami Beach, FL 33140-3428 | 2012-11-15 |
| 1366716243 | Michelle Koo, D.p.m., P.a. | Podiatrist | 1602 Alton Rd # 480, Miami Beach, FL 33139-2421 | 2012-02-24 |
| 1295008290 | South Florida Foot & Ankle Associates, P.a. | Podiatrist | 4308 Alton Rd Ste 710, Miami Beach, FL 33140-4557 | 2012-02-22 |
| 1235342023 | Ruben D Felhandler Dpm Pa | Podiatrist | 8255 Abbott Ave, Suite 302, Miami Beach, FL 33141-5226 | 2007-05-08 |
| 1356566285 | Step Right Up Clinic Inc | Podiatrist | 524 Arthur Godfrey Rd Ste 204, Miami Beach, FL 33140-3528 | 2007-04-16 |
| 1477631786 | Richard Seda | Podiatrist | 1345 Alton Rd, Miami Beach, FL 33139-3811 | 2006-11-02 |
| 1770664401 | Jerald G Carmel | Podiatrist | 4302 Alton Road Suite 1005, Mount Sinai Medical Center Simon Building, Miami Beach, FL 33140-2890 | 2006-10-18 |
| 1811917230 | Miami Beach Foot Center | Podiatrist | 524 Arthur Godfrey Rd, Suite 204, Miami Beach, FL 33140-3520 | 2006-07-20 |
| 1083065429 | Raymond Joseph Lopez | Podiatrist | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2016-06-27 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on DR. MICHELLE KOO.
| 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.