CHARLES G KISSEL DPM PC
NPI 1013001221
Podiatrist - Foot & Ankle Surgery in Warren, MI

Q: What is Charles G Kissel Dpm PC's NPI number?

The NPI number for Charles G Kissel Dpm PC is 1013001221. It was assigned to this organization in the NPPES registry on October 3, 2006.

Q: What is Charles G Kissel Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since October 03, 2006

29433 RYAN RD, WARREN, MI 48092(586) 574-0500(586) 574-2694 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles G Kissel Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES G KISSEL DPM PC (NPI 1013001221) is a healthcare organization registered as a foot & ankle surgery in Warren, Michigan and active in the NPI registry since October 2006. The organization lists Cindy Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1013001221

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameCHARLES G KISSEL DPM PC

Location Address29433 RYAN RDWarren, MI 48092-2203

Mailing Address29433 Ryan RdWarren, MI 48092-2203 · (586) 574-0500 · Fax (586) 574-2694

Phone(586) 574-0500

Fax(586) 574-2694

Organization SubpartNo

Authorized OfficialCindy SmithManager · (586) 574-0500

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 2, 2012

✔ NPI 1013001221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in MI · ZH002007✔ Licensed in MI · CK000960✔ Licensed in MI · MS00843

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License CK000960 (MI)

29433 RYAN RD, Warren, MI 48092

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Other Identifiers 11

OtherCK000960MI · License

Medicaid134865123MI

Medicare PIN0M91010MI

Other480017711MI · Mcrr

Other480E011810MI · Bcbs

Other5901002214MI · License

Medicare NSC0915580001MI

OtherMS000843MI · License

OtherZH002007MI · License

Other540E026180MI · Bcdme

Other480E011810MI · Bcn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES G KISSEL DPM PC

Podiatrist