RANDY FELDMAN DPM LLC (NPI# 1720380975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720380975 |
| Entity Type | Organization |
| Organization Name | RANDY FELDMAN DPM LLC |
| Practice Address |
89 W South Blvd Ste. 500 Troy MI 48085-1611 |
| Mailing Address |
4123 Martin Rd Ste 101 Commerce Township MI 48390-4151 |
| Practice Telephone | 2485097086 |
| Practice Fax Number | 2482891853 |
| Mailing Telephone | 2483633777 |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | RANDY FELDMAN (OWNER/PHYSICAN) |
| Authorized Official Telephone | 2485851177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | 0P41010 | 01 |
| BLUE CROSS BLUE SHIELD | 480F394240 | 01 | |
| MI | BLUE CROSS BLUE SHIELD | 480F337000 | 01 |
| MI | BLUE CARE NETWORK | 480F337000 | 01 |
| MEDICARE DMEPOS | 6242670004 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902108152 | Randy Feldman Dpm LLC | Durable Medical Equipment & Medical Supplies | 13650 Ten Mile Rd, South Lyon, MI 48178-9143 | 2010-11-20 |
| 1376845529 | Randy Feldman Dpm LLC | Durable Medical Equipment & Medical Supplies | 1501 N Milford Rd, Ste. 200, Milford, MI 48381-1006 | 2010-11-20 |
| 1306942842 | Randy Feldman Dpm LLC | Podiatrist | 31017 John R Rd, Madison Heights, MI 48071-1907 | 2006-09-15 |
| Street Address |
89 W SOUTH BLVD STE. 500 |
| City | TROY |
| State | MI |
| Zip Code | 48085-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700993763 | Tina Sy Maruszewski | Chiropractor | 89 W South Blvd, Ste 400, Troy, MI 48085-1611 | 2006-08-24 |
| 1811482342 | Stephanie Shillady Brandimarte | Social Worker | 89 W South Blvd, Troy, MI 48085-1611 | 2018-06-27 |
| 1326452970 | Justine Alexandra Beauvais | Psychologist | 89 W South Blvd, Troy, MI 48085 | 2014-06-11 |
| 1245573047 | Lauren Anne Hahn | Marriage & Family Therapist | 89 W South Blvd, Suite, # 200, Troy, MI 48085-1611 | 2013-03-29 |
| 1518239987 | Alexandra Lempert Lepsetz | Social Worker | 89 W South Blvd, Troy, MI 48085-1611 | 2012-02-01 |
| 1346541596 | Christina N. Schmidt | Counselor | 89 W South Blvd, Troy, MI 48085-1611 | 2010-11-04 |
| 1255599445 | Dma Rehabilitation Services Inc. | Physical Therapist | 89 W South Blvd, Suite# 200, Troy, MI 48085-1611 | 2008-05-25 |
| 1477733640 | Kathleen Connolly Brown | Social Worker | 89 W South Blvd, Troy, MI 48085-1611 | 2007-11-05 |
| 1679699920 | Laurie M Martin | Counselor | 89 W South Blvd, Troy, MI 48085 | 2007-03-21 |
| 1245380898 | Deepak Nandy | Physical Therapist | 89 W South Blvd, Suite # 200, Troy, MI 48085-1611 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| 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 |
|---|---|---|---|---|
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1528404043 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 41 S Stanfield Rd, Ste C, Troy, OH 45373-2371 | 2013-05-13 |
| 1093869257 | Mobile Physicians Network of Michigan PC | Podiatrist | 1874 Enterprise Dr, Troy, MI 48083-1808 | 2007-01-23 |
| 1609927979 | Patrick A Coffey | Podiatrist | 1640 Laurel Creek Dr, Troy, OH 45373-9500 | 2007-01-15 |
| 1982771150 | Karen L. Swisher | Podiatrist | 4800 Beach Rd, Troy, MI 48098-4194 | 2006-11-30 |
| 1073691242 | D. Joel Valentini | Podiatrist | 500 Federal St Ste 601, Troy, NY 12180-2832 | 2006-11-02 |
| 1801980016 | Capital District Podiatry, Pllc | Podiatrist | 763 Hoosick St, Troy, NY 12180 | 2006-10-03 |
| 1154439651 | Donald Clemente Pllc | Podiatrist | 2183 Newburgh Dr, Troy, MI 48083-2524 | 2006-08-26 |
| 1235245549 | Nicholas Bradlee | Podiatrist | 1909 Livernois Rd, Troy, MI 48083-1733 | 2006-08-21 |
| Find all providers in TROY | ||||
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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.