DR. MICHELLE RENEE JUPIN (NPI# 1659378552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659378552 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE RENEE JUPIN |
| Credential | D.P.M. |
| Practice Address |
641 W 9 Mile Rd Ferndale MI 48220-1779 |
| Practice Telephone | 2485487363 |
| Practice Fax Number | 2485485304 |
| Mailing Telephone | 2485487363 |
| Mailing Fax Number | 2485485304 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901002054 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 4856310140 | 01 |
| MI | TAX ID FOR PRIMARY LOCATI | 38-2469733 | 01 |
| MI | 4617312 | 05 |
| Street Address |
641 W 9 MILE RD |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499519 | Harvey Mark Lefkowitz | Podiatrist | 641 W 9 Mile Rd, Ste A, Ferndale, MI 48220-1779 | 2005-07-07 |
| 1720448723 | Ferndale Rehab Physical and Occupation Therapy | Residential Treatment Facility, Physical Disabilities | 641 W 9 Mile Rd, Suite D, Ferndale, MI 48220-1779 | 2016-03-03 |
| 1194131581 | Ferndale Urgent Care | Clinic/Center | 641 W 9 Mile Rd, Suite A, Ferndale, MI 48220-1779 | 2014-07-07 |
| 1508208224 | Alicia Lianne Ward | Podiatrist | 641 W 9 Mile Rd, Ferndale, MI 48220-1779 | 2013-07-23 |
| 1508099615 | Katherine Ann Peoples | Chiropractor | 641 W 9 Mile Rd, Suite C, Ferndale, MI 48220-1779 | 2009-08-24 |
| 1609008218 | Tara Lynn Stock | Podiatrist | 641 W 9 Mile Rd, Suite A, Ferndale, MI 48220-1779 | 2009-08-14 |
| 1932286234 | Bridget A Devlin | Chiropractor | 641 W 9 Mile Rd, Ste C, Ferndale, MI 48220-1779 | 2006-11-01 |
| 1467537001 | Therapy Management Enterprises Inc. | Clinic/Center | 641 W 9 Mile Rd, Suite D, Ferndale, MI 48220-1779 | 2006-10-25 |
| 1497775944 | Peter M Samet Md Plc | Physical Medicine & Rehabilitation | 641 W 9 Mile Rd, Ferndale, MI 48220-1779 | 2006-07-20 |
| 1447293246 | Peter M Samet | Physical Medicine & Rehabilitation | 641 W 9 Mile Rd, Ferndale, MI 48220-1779 | 2006-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
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| 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 |
|---|---|---|---|---|
| 1497173595 | Samantha Gair Gibson | Podiatrist | 3055 Hilton Rd Ste C, Ferndale, MI 48220-1096 | 2014-04-04 |
| 1295980449 | Joseph S. Salerno, Dpm | Podiatrist | 23200 Woodward Ave, Ferndale, MI 48220-3729 | 2008-12-01 |
| 1396946265 | Scott T Grodman Dpm PC | Podiatrist | 3055 Hilton Rd, Suite C, Ferndale, MI 48220-1096 | 2007-05-30 |
| 1861499519 | Harvey Mark Lefkowitz | Podiatrist | 641 W 9 Mile Rd, Ste A, Ferndale, MI 48220-1779 | 2005-07-07 |
| 1831730985 | Advantage Foot and Ankle Specialists Pllc | Podiatrist | 3055 Hilton Rd Ste C, Ferndale, MI 48220-1096 | 2019-09-30 |
| 1063968618 | Rachel Gillespie | Podiatrist | 3055 Hilton Rd Ste C, Ferndale, MI 48220-1096 | 2016-09-01 |
| 1750335451 | Joseph Samuel Salerno | Podiatrist | 2241 Hilton Rd, Suite 3, Ferndale, MI 48220-1459 | 2006-05-19 |
| 1316945413 | Harvey Lefkowitz, D.p.m., P.C. | Podiatrist | 641 W 9 Mile Rd, Suite 'a', Ferndale, MI 48220-1779 | 2005-07-12 |
| 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 |
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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.