Kyle W Sundblad (NPI# 1205813797, PAC ID# 9436128501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1205813797 |
| PAC ID by PECOS | 9436128501 |
| Professional Enrollment ID | I20040927000679 |
| Full Name | Kyle W Sundblad |
| Organization Legal Name | DR KYLE W SUNDBLAD PC |
| Address |
41400 Dequindre Rd Suite 100 Sterling Heights MI 48314-3751 |
| Phone Number | 5867317873 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1254614332 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230301 | OAKLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 133 S Main St, Mt Clemens, MI 48043-2308 | 5864681600 | ALLIANCE HEALTH PROFESSIONALS PLLC |
| 22401 Foster Winter Dr, Surgeons Choice Medical Center, Southfield, MI 48075-3724 | 2484234100 | SOUTHFIELD REHABILITATION COMPANY |
| 41400 Dequindre Rd, Suite 100, Sterling Heights, MI 48314-3751 | 5867317873 | DR KYLE W SUNDBLAD PC |
| 9001 15 Mile Rd A, Sterling Heights, MI 48312-3621 | 5869790560 | DR. WALTER B. COLEMAN PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | DR KYLE W SUNDBLAD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret M Andrews | Podiatry | Dr Kyle W Sundblad PC | 41400 Dequindre Rd, Suite 100, Sterling Heights, MI 48314-3751 |
| Samantha G Gibson | Podiatry | Dr Kyle W Sundblad PC | 41400 Dequindre Rd, Suite 100, Sterling Heights, MI 48314-3751 |
| Street Address |
41400 DEQUINDRE RD SUITE 100 |
| City | STERLING HEIGHTS |
| State | MI |
| Zip | 48314-3751 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Agnes Wrobel | Psychiatry | 41400 Dequindre Rd, Suite 121, Sterling Heights, MI 48314-3751 | |
| Julie N Sher | Psychiatry | 41400 Dequindre Rd, Suite 107, Sterling Heights, MI 48314-3751 | |
| Dustin K Shepler | Psychologist, Clinical | Silver Linings Counseling | 41400 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-3751 |
| Jamie L Overbaugh | Clinical Social Worker | Silver Linings Counseling | 41400 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-3751 |
| Matthew Storey | Clinical Social Worker | Silver Linings Counseling | 41400 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-3751 |
| Margaret M Andrews | Podiatry | Dr Kyle W Sundblad PC | 41400 Dequindre Rd, Suite 100, Sterling Heights, MI 48314-3751 |
| Samantha G Gibson | Podiatry | Dr Kyle W Sundblad PC | 41400 Dequindre Rd, Suite 100, Sterling Heights, MI 48314-3751 |
| Mical Lorenz | Clinical Social Worker | Silver Linings Counseling | 41400 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-3751 |
| Andrea L Simon | Clinical Social Worker | Silver Linings Counseling | 41400 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-3751 |
| Jennifer J Gee | Clinical Social Worker | Silver Linings Counseling | 41400 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-3751 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald B Hunt | Family Medicine | William Beaumont Hospital | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 |
| Srikala Yedavally Yellayi | Family Medicine | William Beaumont Hospital | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 |
| Florence J Acosta | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 |
| Donna Warner Manczak | Psychologist, Clinical | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 |
| John F Oleary | Psychologist, Clinical | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 |
| Anne S Van Dyke | Clinical Psychologist | William Beaumont Hospital | 44300 Dequindre Rd, Sterling Hts, MI 48314-1003 |
| Madeleine A Hasbrook | Ophthalmology | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Mark A Rolain | Ophthalmology | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Kristin Bratek | Optometry | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Agatha Y Obertynski | Ophthalmology | University Eye Care PC | 44344 Dequindre Rd, Suite 110, Sterling Heights, MI 48314-1038 |
| Find all physicians in zip 48314 | |||
| City | STERLING HEIGHTS |
| Zip Code | 48314 |
| Specialty | PODIATRY |
| City + Specialty | STERLING HEIGHTS + PODIATRY |
Please comment or provide details below to improve the information on Kyle W Sundblad.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.