| Foot & Ankle Institute Of Sports Medicine, Llc | |
|
1107 Stone St Ste 3, Port Huron, MI 48060-3569 | |
| (810) 204-4494 | |
| (810) 479-9640 |
| Full Name | Foot & Ankle Institute Of Sports Medicine, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1107 Stone St Ste 3, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336835875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Rachelle L Randall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558855155 PECOS PAC ID: 6204239528 Enrollment ID: I20230519002042 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot & Ankle Institute Of Sports Medicine, Llc 1107 Stone St Ste 3, Port Huron, MI 48060-3569 Ph: (810) 204-4494 | Foot & Ankle Institute Of Sports Medicine, Llc 1107 Stone St Ste 3, Port Huron, MI 48060-3569 Ph: (810) 204-4494 |
Dr. Thomas Kevin Ernst, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 828 10th Ave, Port Huron, MI 48060 Phone: 810-982-4240 Fax: 810-982-2479 | |
Dr. David T Touchton, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 603 Griswold St, Port Huron, MI 48060 Phone: 810-987-7444 Fax: 810-982-7214 | |
Dr. James Peter Pitlosh, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 803 10th Ave, Suite A, Port Huron, MI 48060 Phone: 810-985-7996 | |
David T. Touchton Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 603 Griswold St, Port Huron, MI 48060 Phone: 810-987-7444 Fax: 810-982-7214 | |
Rachelle Randall, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1107 Stone St Ste 3, Port Huron, MI 48060 Phone: 810-204-4494 Fax: 810-479-9640 | |
Adnan Ejupovic, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1217 Kearney St, Port Huron, MI 48060 Phone: 810-982-4240 Fax: 586-429-1501 |