MOBILE PODIATRY SERVICES, PC (NPI# 1720442056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720442056 |
| Entity Type | Organization |
| Organization Name | MOBILE PODIATRY SERVICES, PC |
| Practice Address |
12786 Lasalle Ln Huntington Woods MI 48070-1020 |
| Practice Telephone | 7732638540 |
| Practice Fax Number | 7738661733 |
| Mailing Telephone | 7732638540 |
| Mailing Fax Number | 7738661733 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | DR. THOMAS D PAHOLAK (PRESIDENT) |
| Authorized Official Telephone | 7732638540 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
5901001714 | MI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
12786 LASALLE LN |
| City | HUNTINGTON WOODS |
| State | MI |
| Zip Code | 48070-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710934955 | Thomas Daniel Paholak | Podiatrist | 12786 Lasalle Ln, Huntington Woods, MI 48070-1020 | 2006-05-30 |
| 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 | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666880 | Tracey A Arbour | Podiatrist | 47205 Scarlet Dr S, Novi, MI 48374-3448 | 2019-02-27 |
| 1487107249 | Muhammad Kang | Podiatrist | 2075 E West Maple Rd Ste B207, Commerce Township, MI 48390-3816 | 2016-07-28 |
| 1508229188 | Katherine Morrison | Podiatrist | 14555 Levan Rd Ste E302, Livonia, MI 48154-5042 | 2016-04-01 |
| 1215293550 | Kevin J. Piebenga D.p.m. P.C. | Podiatrist | 3330 Central Boulevard, Hudsonville, MI 49426-4114 | 2012-04-11 |
| 1356570436 | Sarah Pope | Podiatrist | 2763 New England Dr, Rochester Hills, MI 48309-2819 | 2009-07-09 |
| 1831348416 | Allan Kalmus Dpm PC | Podiatrist | 5250 Auto Club Dr Ste 220, Dearborn, MI 48126-2619 | 2008-09-18 |
| 1659559870 | Craig R. Shelton, Dpm | Podiatrist | 103 Ferris St, Ypsilanti, MI 48197-5412 | 2008-02-11 |
| 1881802288 | Ronald Eugene Wilson | Podiatrist | 18460 Revere St, Detroit, MI 48234-1726 | 2007-05-18 |
| 1427185545 | James Peter Pitlosh | Podiatrist | 803 10th Ave, Suite A, Port Huron, MI 48060-3676 | 2007-02-27 |
| 1629137807 | Clifford Arthur Trethewey | Podiatrist | 216 W Exchange St, Owosso, MI 48867-2818 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON WOODS |
| Zip Code | 48070 |
Please comment or provide details below to improve the information on MOBILE PODIATRY SERVICES, 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.