FOOT HEALTHCARE ASSOCIATES, PC (NPI# 1619214855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619214855 |
| Entity Type | Organization |
| Organization Name | FOOT HEALTHCARE ASSOCIATES, PC |
| Practice Address |
26850 Providence Pkwy Suite 502 Novi MI 48374-1213 |
| Practice Telephone | 2482580001 |
| Practice Fax Number | 2482586779 |
| Mailing Telephone | 2482580001 |
| Mailing Fax Number | 2482586779 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | DR. NEAL A MOZEN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2482580001 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | FOOT HEALTHCARE ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 5901002465 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 5901002233 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 5901002271 | MI | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 5901001143 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI | 1457593162 | 01 |
| MI | PODIATRYIC PHYSICIAN & SURGEON | 5901001143 | 01 |
| MI | NPI | 1215913694 | 01 |
| MI | PODIATRIC PHYSICAN & SURGEON | 5901002465 | 01 |
| MI | NPI | 1821253022 | 01 |
| MI | PODIATRIC PHYSICIAN & SURGEON | 5901002233 | 01 |
| MI | PODIATRIC PHYSICIAN & SURGEON | 5901002271 | 01 |
| MI | MEDICARE DME | 0611170003 | 01 |
| MI | NPI | 1902096902 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295072445 | Foot Healthcare Associates, PC | Podiatrist | 37595 7 Mile Rd, Suite 370, Livonia, MI 48152-1003 | 2013-01-08 |
| 1558398818 | Foot Healthcare Associates, PC | Podiatrist | 29829 Telegraph Rd, Suite 202, Southfield, MI 48034-1330 | 2006-06-26 |
| Street Address |
26850 PROVIDENCE PKWY SUITE 502 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354953 | Lara Azzi | Pediatrics | 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 | 2005-05-27 |
| 1578096483 | Jordyn Havens | Counselor | 26850 Providence Pkwy, Ste 410, Novi, MI 48374-1213 | 2017-04-07 |
| 1740723659 | Carmela Wilder | Social Worker | 26850 Providence Pkwy, Suite 205, Novi, MI 48374-1213 | 2016-11-24 |
| 1518413210 | Adam Mcclafferty | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2016-09-01 |
| 1336591973 | Jessica Wentworth | Nurse Practitioner | 26850 Providence Pkwy, Novi, MI 48374-1213 | 2016-07-07 |
| 1407233745 | Kha H. Ngo, D.o., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Ste 350, Novi, MI 48374-1213 | 2015-05-06 |
| 1629455423 | Serge A. Sorser, M.d., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1213 | 2015-04-30 |
| 1487052619 | Providence Park Internal Medicine PC | Internal Medicine | 26850 Providence Pkwy, Suite 450, Novi, MI 48374-1213 | 2014-12-22 |
| 1598161564 | Paul James Constantino | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2014-11-18 |
| 1306269436 | Northwest Eye Physicians, P.C. | Eyewear Supplier (Equipment, not the service) | 26850 Providence Pkwy, Suite 440, Novi, MI 48374-1213 | 2014-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| 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 |
|---|---|---|---|---|
| 1164820098 | Alegis Care - Michigan PC | Podiatrist | 39555 Orchard Hill Pl Ste 13, Novi, MI 48375-5374 | 2014-12-09 |
| 1750367009 | John D Miller | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2005-12-19 |
| 1902890627 | Steven Ronald Migdalewicz | Podiatrist | 30750 Tanglewood Dr, Novi, MI 48377-1589 | 2005-09-08 |
| 1558360875 | Kristina E Green | Podiatrist | 44000 W 12 Mile Rd, Suite 111, Novi, MI 48377-2644 | 2005-07-19 |
| 1457593162 | Thomas Belken | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2009-03-26 |
| 1134380181 | Robert Matthew Koivunen | Podiatrist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2008-06-23 |
| 1972710945 | Michael P. Burk, D.p.m., Pllc | Podiatrist | 39555 W 10 Mile Rd, Suite 307, Novi, MI 48375-2950 | 2007-05-17 |
| 1972635829 | Steven R Migdalewicz Dpm PC | Podiatrist | 30750 Tanglewood Dr, Novi, MI 48377-1589 | 2007-03-09 |
| 1528103009 | Associated Podiatrists PC | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2007-02-21 |
| 1447357959 | Jeffrey B Klein | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2006-09-19 |
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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.