ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C. (NPI# 1649240375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649240375 |
Entity Type | Organization |
Organization Name | ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C. |
Practice Address |
3206 Orchard Lake Rd Orchard Lake MI 48324-1633 |
Practice Telephone | 2486826662 |
Practice Fax Number | 2486822850 |
Mailing Telephone | 2486826662 |
Mailing Fax Number | 2486822850 |
Enumeration Date | 2006-01-25 |
Last Update Date | 2008-01-17 |
Authorized Official Name | DR. GERALD GOLD (OWNER) |
Authorized Official Telephone | 2486826662 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSMI | 480F37410 | 01 |
Street Address |
3206 ORCHARD LAKE RD |
City | ORCHARD LAKE |
State | MI |
Zip Code | 48324-1633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568432151 | Gerald Gold | Podiatrist | 3206 Orchard Lake Rd, Orchard Lake, MI 48324-1633 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
1659641645 | Neogenomics Laboratories Inc | Pathology | 6455 Mission, West Bloomfield, MI 48324 | 2012-01-06 |
1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
1629072038 | Alfonso Acosta | Family Medicine | 7173 Ilanaway Dr, West Bloomfield, MI 48324 | 2005-06-13 |
1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
Find all providers in zip 48324 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568432151 | Gerald Gold | Podiatrist | 3206 Orchard Lake Rd, Orchard Lake, MI 48324-1633 | 2006-01-25 |
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 |
Find all providers with the same taxonomy |
City | ORCHARD LAKE |
Zip Code | 48324 |
Please comment or provide details below to improve the information on ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C..
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.