SUHA KASSAB DPM PC (NPI# 1619149010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619149010 |
| Entity Type | Organization |
| Organization Name | SUHA KASSAB DPM PC |
| Practice Address |
10 W Square Lake Rd Ste300 Bloomfield Hills MI 48302-0465 |
| Mailing Address |
10 W Square Lake Rd Ste 300 Bloomfield Hills MI 48302-0465 |
| Practice Telephone | 2483334900 |
| Practice Fax Number | 2483334905 |
| Mailing Telephone | 2483334900 |
| Mailing Fax Number | 2483334905 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | DR. SUHA KASSAB (PRESIDENT) |
| Authorized Official Telephone | 2483334900 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SK001415 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC LINCENSE | SK001415 | 01 |
| MI | 2592751 | 05 |
| Street Address |
10 W SQUARE LAKE RD STE300 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902890015 | Suha F Kassab | Podiatrist | 10 W Square Lake Rd, Ste. 300, Bloomfield Hills, MI 48302-0465 | 2005-09-02 |
| 1235515354 | Premiercare Health Services, Inc. | Home Health | 10 W Square Lake Rd, Suite 219, Bloomfield Hills, MI 48302-0465 | 2015-07-31 |
| 1043618341 | Judith Shredneski | Counselor | 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302-0465 | 2014-12-18 |
| 1689073223 | Counseling of Mind Center LLC | Clinic/Center | 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302-0465 | 2014-08-20 |
| 1558671370 | Advanced Dental Imaging of Michigan, Pllc | Dentist | 10 W Square Lake Rd, Suite 305, Bloomfield Hills, MI 48302-0465 | 2010-10-14 |
| 1235469370 | Pamela Jane Lyle | Social Worker | 10 W Square Lake Rd, Suite 221, Bloomfield Hills, MI 48302-0465 | 2010-01-13 |
| 1588994883 | Andrea Jean Cooley | Counselor | 10 W Square Lake Rd, Suite 221, Bloomfield Hills, MI 48302-0465 | 2010-01-08 |
| 1376877142 | Frank J. Greene M.d., P.C. | Clinic/Center | 10 W Square Lake Rd, Suite 222, Bloomfield Hills, MI 48302-0465 | 2009-09-28 |
| 1336383611 | Lindsay C Laboda | Social Worker | 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302-0465 | 2009-04-30 |
| 1447494737 | Katherine Aileen Vance | Social Worker | 10 W Square Lake Rd, Suite 103, Bloomfield Hills, MI 48302-0465 | 2009-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1972043859 | Norman H Brant | Podiatrist | 6700 Halyard Rd, Bloomfield Hills, MI 48301-2815 | 2017-02-27 |
| 1598148116 | Jeri Christina Berkowitz | Podiatrist | 7241 Inkster Rd, Bloomfield Hills, MI 48301-3513 | 2015-07-01 |
| 1275756595 | Dr Karen Swisher | Podiatrist | 970 Hickory Heights Dr, Bloomfield Hills, MI 48304-3125 | 2007-04-11 |
| 1861512618 | Kathleen Helen Duzak | Podiatrist | 1770 Woodgrove Ln, Bloomfield Hills, MI 48302-2673 | 2007-03-29 |
| 1962551127 | Marc Weiner | Podiatrist | 2035 Wickford Ct, Bloomfield Hills, MI 48304-1088 | 2007-01-09 |
| 1902890015 | Suha F Kassab | Podiatrist | 10 W Square Lake Rd, Ste. 300, Bloomfield Hills, MI 48302-0465 | 2005-09-02 |
| 1184835340 | Specialized Podiatry Services P. C. | Podiatrist | 2035 Wickford Ct, Bloomfield Hills, MI 48304-1088 | 2007-05-26 |
| 1346344470 | Arnold Howard Migdal | Podiatrist | 6405 Telegraph Rd, Bldg E, Bloomfield Hills, MI 48301 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on SUHA KASSAB 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.