GENTLE FOOT CARE OF WESTERN OHIO, INC. (NPI# 1891939682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891939682 |
Entity Type | Organization |
Organization Name | GENTLE FOOT CARE OF WESTERN OHIO, INC. |
Practice Address |
3800 Woodward Ave Ste 318 Detroit MI 48201-2066 |
Mailing Address |
3800 Woodward Ave Ste 318 Suite 1102 Detroit MI 48201-2066 |
Practice Telephone | 3138333090 |
Practice Fax Number | 3138337843 |
Mailing Telephone | 3138333090 |
Mailing Fax Number | 3138337843 |
Enumeration Date | 2009-04-24 |
Last Update Date | 2009-11-04 |
Authorized Official Name | CARMEN HENDERSON (CREDENTIALS SPECIALIST) |
Authorized Official Telephone | 6144573212 |
Is Organization Subpart | Y |
Parent Organization Name | GENTLE FOOT CARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 335E00000X | Prosthetic/Orthotic Supplier | 5901002275 | MI | Suppliers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5901002275 | MI | Suppliers |
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
5901002275 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MEDICARE NPI | 1316191679 | 01 |
MI | 1417136029 | 05 | |
MI | MEDICARE PTAN | MI1225 | 01 |
MI | 1316191679 | 05 | |
MI | MEDICARE PTAN | MI1225001 | 01 |
MI | MEDICARE NPI | 1417136029 | 01 |
Street Address |
3800 WOODWARD AVE STE 318 |
City | DETROIT |
State | MI |
Zip Code | 48201-2066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
Find all providers in zip 48201 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881849347 | Christopher M. Fallu Dpm, PC | Clinic/Center | 6795 W Vernor Hwy, Detroit, MI 48209-1551 | 2008-11-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245849009 | Southern Michigan Foot & Ankle, Plc | Clinic/Center | 14167 C B Macdonald Way, Vicksburg, MI 49097-8397 | 2020-07-28 |
1982229159 | Jeri Berkowitz Pllc | Clinic/Center | 7001 Orchard Lake Rd Ste 230b, West Bloomfield, MI 48322-3659 | 2020-06-12 |
1871965954 | Pardee Foot Clinic | Clinic/Center | 9029 Pardee Rd, Taylor, MI 48180-2755 | 2015-10-28 |
1194964452 | Stacey Stefansky Dpm Pllc | Clinic/Center | 2130 Marshall Court, Waterford, MI 48329-4069 | 2009-02-10 |
1386814978 | Jess Kraft Dpm PC | Clinic/Center | 27920 Arlington Dr, Southfield, MI 48076-5605 | 2008-03-10 |
1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
1154391985 | Southgate Foot and Ankle Center Pllc | Clinic/Center | 14535 Northline Rd., Southgate, MI 48195-2446 | 2006-01-24 |
1992363097 | Matthew D Andrews Dpm PC | Clinic/Center | 1221 S Ortonville Rd Bldg B, Ortonville, MI 48462-8676 | 2019-06-03 |
1063077998 | Kevin Garfield Dpm PC | Clinic/Center | 1775 E 14 Mile Rd Ste 100, Birmingham, MI 48009-7204 | 2019-05-06 |
1467953422 | Right Step Podiatry Care Pllc | Clinic/Center | 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 | 2018-02-26 |
Find all providers with the same taxonomy |
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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.