Provider Demographics
NPI:1649496613
Name:AMORE PODIATRY ASSOCIATES PC
Entity type:Organization
Organization Name:AMORE PODIATRY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-931-0910
Mailing Address - Street 1:PO BOX 381185
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-0078
Mailing Address - Country:US
Mailing Address - Phone:248-986-5705
Mailing Address - Fax:
Practice Address - Street 1:6578 POST OAK DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:586-263-0910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDK 000837213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540E028410OtherBCBS
MI131355117Medicaid
MI540E018980OtherBCBS-DME
MI4885050090OtherBCBS
MI4885050090OtherBCBS
MIT34412Medicare UPIN
MI131355117Medicaid
MI0882260001Medicare NSC
MI4885050090OtherBCBS