MARK MIKHAEL INC (NPI# 1740622232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740622232 |
| Entity Type | Organization |
| Organization Name | MARK MIKHAEL INC |
| Practice Address |
2625 W Alameda Ave Suite 116 Burbank CA 91505-4806 |
| Practice Telephone | 8188413936 |
| Practice Fax Number | 8188415974 |
| Mailing Telephone | 8188413936 |
| Mailing Fax Number | 8188415974 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | DR. MARK M MIKHAEL (PRESIDENT) |
| Authorized Official Telephone | 8188413936 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
A105078 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2625 W ALAMEDA AVE SUITE 116 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520761 | Shailesh S Patel | Internal Medicine | 2625 W Alameda Ave, Ste 506, Burbank, CA 91505-4816 | 2005-06-28 |
| 1871838367 | Justin Farrell Cahn | Physician Assistant | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-12-10 |
| 1205171477 | Krystle Fernandez | Licensed Practical Nurse | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-11-29 |
| 1487905808 | Sofise Chen | Dentist | 2625 W Alameda Ave, Suite 216, Burbank, CA 91505-4806 | 2012-09-25 |
| 1922359603 | Sofise Chen, D.d.s. A Professional Dental Corporation | Clinic/Center | 2625 W Alameda Ave, 216, Burbank, CA 91505-4806 | 2012-09-21 |
| 1639457138 | Lakshmidevi V. Putta, Md Inc | Family Medicine | 2625 W Alameda Ave, Suite 424, Burbank, CA 91505-4806 | 2011-08-01 |
| 1679873665 | Robert Stephen Neches | Marriage & Family Therapist | 2625 W Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2010-10-25 |
| 1790002871 | Shant M Karayan | Chiropractor | 2625 W Alameda Ave, Suite 310, Burbank, CA 91505-4806 | 2010-04-28 |
| 1841528957 | Tejas Patel, Md A Medical Corporation | Internal Medicine | 2625 W Alameda Ave, Ste 412, Burbank, CA 91505-4806 | 2009-12-01 |
| 1063659704 | Western Podmed Clinic Inc | Podiatrist | 2625 W Alameda Ave, Ste 314, Burbank, CA 91505-4822 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346446101 | Mark Mikhael | Orthopaedic Surgery | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562236 | Walk Run Randall | Orthopaedic Surgery | 28829 Pujol St Apt 718, Temecula, CA 92590-6710 | 2020-03-10 |
| 1003469370 | Total Care Podiatry Services, Inc. | Orthopaedic Surgery | 1663 Eucalyptus Ct, Los Banos, CA 93635-6201 | 2019-07-16 |
| 1508333758 | Lc Loggins | Orthopaedic Surgery | 4041 Altamont Ave, Oakland, CA 94605-2603 | 2018-10-25 |
| 1487996864 | Edward Leo Garr | Orthopaedic Surgery | 1811 Sirrine Dr, Santa Ana, CA 92705-1594 | 2013-03-22 |
| 1124368667 | Candice Lillian Brady | Orthopaedic Surgery | 400 Camarillo Ranch Rd Ste 101, Camarillo, CA 93012-5901 | 2013-02-20 |
| 1477855955 | Desert Orthopedic Center A Medical Group Inc | Orthopaedic Surgery | 45280 Seeley Dr Fl 2 Rm 3lq, La Quinta, CA 92253-6834 | 2010-12-03 |
| 1184710642 | Clifford D Merkel | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlandss, CA 92374 | 2006-10-04 |
| 1265462337 | Osep Armagan | Orthopaedic Surgery | 141 Triunfo Canyon Rd, Suite 101, Westlake Village, CA 91361-2525 | 2006-07-04 |
| 1184650921 | Disorders of The Foot and Ankle A Medical Corporation | Orthopaedic Surgery | 4130 La Jolla Village Dr., Suite 300, La Jolla, CA 92037-1481 | 2006-06-23 |
| 1417925462 | Kenneth S. Jung II | Orthopaedic Surgery | 6801 Park Terrace Drive, Los Angeles, CA 90045 | 2006-03-08 |
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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.