| Charles G Kissel Dpm Pc | |
|
29433 Ryan Rd, Warren, MI 48092-2203 | |
| (586) 574-0500 | |
| (586) 574-2694 |
| Full Name | Charles G Kissel Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 29433 Ryan Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013001221 | NPI | - | NPPES |
| 134865123 | Medicaid | MI | |
| 480017711 | Other | MI | MCRR |
| 480E011810 | Other | MI | BCBS |
| 480E011810 | Other | MI | BCN |
| ZH002007 | Other | MI | LICENSE |
| 540E026180 | Other | MI | BCDME |
| 5901002214 | Other | MI | LICENSE |
| CK000960 | Other | MI | LICENSE |
| MS000843 | Other | MI | LICENSE |
| Provider Name | Charles A Kissel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982606414 PECOS PAC ID: 3971535600 Enrollment ID: I20060607000208 |
| Provider Name | Lee M Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639250889 PECOS PAC ID: 6507866019 Enrollment ID: I20070108000195 |
| Provider Name | Aimee Popofski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790880284 PECOS PAC ID: 8729050299 Enrollment ID: I20070115000078 |
| Provider Name | Robert D Adas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841299278 PECOS PAC ID: 2769586650 Enrollment ID: I20070403000060 |
| Provider Name | Lena C Antoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861817348 PECOS PAC ID: 2860611001 Enrollment ID: I20140919001504 |
| Provider Name | Erik Kissel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285981035 PECOS PAC ID: 4082835160 Enrollment ID: I20141015001809 |
| Provider Name | Brian Gregory Kissel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740544683 PECOS PAC ID: 6507177482 Enrollment ID: I20150618001622 |
| Provider Name | Raed Al-gharib |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083103329 PECOS PAC ID: 0143576892 Enrollment ID: I20210527001973 |
| Provider Name | Tariq Kamel Elagamy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003436486 PECOS PAC ID: 8628491966 Enrollment ID: I20230725001432 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles G Kissel Dpm Pc 29433 Ryan Rd, Warren, MI 48092-2203 Ph: (586) 574-0500 | Charles G Kissel Dpm Pc 29433 Ryan Rd, Warren, MI 48092-2203 Ph: (586) 574-0500 |
Balanced Podiatry Care Podiatrist Medicare: Medicare Enrolled Practice Location: 30205 Schoenherr Rd Ste A, Warren, MI 48088 Phone: 586-751-1288 Fax: 586-299-2001 | |
Dr. Tariq Elagamy, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 596-574-0500 | |
Dr Anthony Weinert Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3272 E 12 Mile Rd, Suite 101, Warren, MI 48092 Phone: 586-751-3338 Fax: 586-751-3312 | |
Dr. Gary Mauro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3701 E 13 Mile Rd, Warren, MI 48092 Phone: 586-979-1060 | |
Edward S. Gordon Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 25656 Schoenherr Road, Warren, MI 48089 Phone: 586-779-4820 Fax: 586-779-9535 | |
Charles G Kissel Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 586-574-0500 Fax: 586-574-2694 |