DR. THOMAS DANIEL PAHOLAK (NPI# 1710934955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710934955 |
| Entity Type | Individual |
| Full Name | DR. THOMAS DANIEL PAHOLAK |
| Credential | DPM |
| Practice Address |
12786 Lasalle Ln Huntington Woods MI 48070-1020 |
| Mailing Address |
6374 N Lincoln Ave Suite 205 Chicago IL 60659-1275 |
| Practice Telephone | 2485723900 |
| Practice Fax Number | 2485721277 |
| Mailing Telephone | 7738669800 |
| Mailing Fax Number | 7738661733 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016004340 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 5901001714 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016-004340 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0001623503 | 01 |
| IL | 016-004340 | 05 | |
| IL | IL STATE LICENSE | 016-004340 | 01 |
| IL | RAILROAD MEDICARE | 480027688 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6374 N Lincoln Ave, Suite 205, Chicago, IL 606591275 | 7738669800 | 7738661733 |
| Street Address |
12786 LASALLE LN |
| City | HUNTINGTON WOODS |
| State | MI |
| Zip Code | 48070-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720442056 | Mobile Podiatry Services, PC | Podiatrist | 12786 Lasalle Ln, Huntington Woods, MI 48070-1020 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286237 | Intrinsic Dental Care Plc | Dentist | 26711 Woodward Ave., Suite 101, Huntington Woods, MI 48070 | 2019-07-10 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1396958336 | Matthew James Smith | Dentist | 26711 Woodward Avenue, Suite 107, Huntington Woods, MI 48070 | 2007-05-07 |
| 1467664177 | Barry Chesterman | Physical Therapist | 13132 Ludlow Ave, Huntington Woods, MI 48070 | 2007-05-04 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1194802314 | Russell Charles Bowman | Dentist | 26635 Woodward, Huntington Woods, MI 48070 | 2006-11-01 |
| 1508951104 | Chen Cao | Dentist | 26789 Woodward Ave., Suite 203, Huntington Woods, MI 48070 | 2006-10-03 |
| 1235162231 | Ira Joseph Schaer | Psychologist | 26789 Woodward, Suite 211, Huntington Woods, MI 48070 | 2006-07-10 |
| 1962475236 | Lisa Anne Fulgenzi | Internal Medicine | 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070 | 2006-02-08 |
| 1861478612 | Nancy M Mannisto | Pediatrics | 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 | 2005-12-22 |
| Find all providers in zip 48070 | ||||
| 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 |
|---|---|---|---|---|
| 1942257969 | Robert D Adas Dpm & Larry H Wexler Dpm PC | Podiatrist | 26831 Woodward Ave, Huntington Woods, MI 48070-1326 | 2006-05-27 |
| 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 | HUNTINGTON WOODS |
| Zip Code | 48070 |
Please comment or provide details below to improve the information on DR. THOMAS DANIEL PAHOLAK.
| 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.