OMNI FOOTCARE ASSOCIATES, PC (NPI# 1689862666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689862666 |
| Entity Type | Organization |
| Organization Name | OMNI FOOTCARE ASSOCIATES, PC |
| Practice Address |
42850 Schoenherr Rd Suite 3 Sterling Heights MI 48313-2875 |
| Mailing Address |
42850 Schoenherr Rd Sterling Heights MI 48313-2875 |
| Practice Telephone | 5862470840 |
| Practice Fax Number | 5862477668 |
| Mailing Telephone | 5862470840 |
| Mailing Fax Number | 5862477668 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2009-10-29 |
| Authorized Official Name | DR. ARNOLD BRYAN WOLF (PRESIDENT) |
| Authorized Official Telephone | 5862470840 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
AW001164 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1710645 | 05 | |
| MI | HAP | 83069B | 01 |
| MI | AETNA | 4662672 | 01 |
| MI | M CARE | C7479 | 01 |
| MI | GREAT LAKES | 104435 | 01 |
| MI | BCBSM | 480E021060 | 01 |
| MI | RAILROAD MEDICARE PART B | DE4368 | 01 |
| MI | BCBS | 4885050380 | 01 |
| MI | UNITED HEALTHCARE | 870453 | 01 |
| MI | STATE LICENSE | AW001164 | 01 |
| Street Address |
42850 SCHOENHERR RD SUITE 3 |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48313-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020847 | Arnold Bryan Wolf | Podiatrist | 42850 Schoenherr Rd, Suite 3, Sterling Heights, MI 48313-2875 | 2005-08-12 |
| 1013136241 | Douglas W. Koenke, D.d.s. | Dentist | 42850 Schoenherr Rd, Suite 5, Sterling Heights, MI 48313-2875 | 2007-04-25 |
| 1942288865 | Douglas William Koenke | Dentist | 42850 Schoenherr Rd, Suite 5, Sterling Heights, MI 48313-2875 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
| 1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
| 1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
| 1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
| 1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
| 1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
| 1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
| 1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
| 1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
| 1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
| Find all providers in zip 48313 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
| 1508905985 | Georgetown Podiatric Surgeons PC | Podiatrist | 3058 Metropolitan Pkwy Ste 206, Sterling Heights, MI 48310-3680 | 2007-02-05 |
| 1851307573 | Gerard John Skrocki | Podiatrist | 42370 Van Dyke, Suite 104, Sterling Heights, MI 48314 | 2006-08-01 |
| 1124020847 | Arnold Bryan Wolf | Podiatrist | 42850 Schoenherr Rd, Suite 3, Sterling Heights, MI 48313-2875 | 2005-08-12 |
| 1962968719 | Mini Invasive Podiatry Plc | Podiatrist | 3058 Metropolitan Pkwy Ste 206, Sterling Heights, MI 48310-3680 | 2019-02-18 |
| 1780864249 | Sterling Family Foot Care PC | Podiatrist | 43330 Mound Rd, Sterling Heights, MI 48314-2022 | 2007-11-13 |
| 1942290069 | Michael Louis Gerber | Podiatrist | 41400 Dequindre Rd, Ste 100, Sterling Heights, MI 48314 | 2005-10-28 |
| 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 |
| 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 |
| 1487193686 | Michael A. Hartman Dpm PC | Podiatrist | 12885 Northline Rd, Southgate, MI 48195-1181 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48313 |
Please comment or provide details below to improve the information on OMNI FOOTCARE ASSOCIATES, 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.