ADVANCED FOOT & ANKLE CARE CENTER 2 PLLC (NPI# 1922275478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922275478 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT & ANKLE CARE CENTER 2 PLLC |
| Other Organization Name | ISSAM N. MANSOUR DPM |
| Practice Address |
5130 Coolidge Hwy C/o Royal Oak Medical Center Royal Oak MI 48073-1001 |
| Mailing Address |
24230 Karim Blvd Ste #140 Novi MI 48375-2953 |
| Practice Telephone | 2482889500 |
| Practice Fax Number | 2482880044 |
| Mailing Telephone | 2488889500 |
| Mailing Fax Number | 2488889504 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. ISSAM N MANSOUR (OWNER/PODIATRIST) |
| Authorized Official Telephone | 2488889500 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002177 | MI | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| ISSAM N. MANSOUR DPM | Other Name - Individual/Organization |
| Street Address |
5130 COOLIDGE HWY C/O ROYAL OAK MEDICAL CENTER |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094689 | Kenneth Wayne Gahry | Physician Assistant | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2005-09-27 |
| 1679921787 | Maegen Mandeville | Physician Assistant | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2016-05-31 |
| 1437544772 | Royal Oak Medical Center PC | Internal Medicine | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2015-04-03 |
| 1477974103 | Kanupriya Kapoor | Physical Therapist | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2013-12-24 |
| 1952737645 | Martin Zarski | Nurse Anesthetist, Certified Registered | 5130 Coolidge Hwy, Suite 120, Royal Oak, MI 48073-1001 | 2013-09-25 |
| 1417389396 | David Vandam LLC | Nurse Anesthetist, Certified Registered | 5130 Coolidge Hwy, Suite 120, Royal Oak, MI 48073-1001 | 2013-08-02 |
| 1720429251 | Margarete Liles LLC | Nurse Anesthetist, Certified Registered | 5130 Coolidge Hwy, Suite 120, Royal Oak, MI 48073-1001 | 2013-07-12 |
| 1881032407 | Maureen Therese Romanchik | Nurse Practitioner | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2013-06-05 |
| 1619228061 | Kelly L Hess | Nurse Practitioner | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2012-09-25 |
| 1922396936 | Rashmi Patel | Physical Therapist | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2011-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548754229 | Royal Oak Foot & Ankle | Podiatrist | 1026 S Washington Ave, Royal Oak, MI 48067 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
| 1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
| 1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
| 1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
| 1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
| 1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
| 1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
| 1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
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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.