Chantale Esther Bothuell, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002140 Issued in MI

Practice address

2424 Fordham St
Keego Harbor, MI 48320-1412

Phone

(313) 384-7300

Fax

(248) 747-4014

NPI assigned

May 14, 2007

Last updated

Mar 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Footcare

  • Podiatrist
  • Keego Harbor, MI
  • NPI 1912229105
  NPD Authorized official
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807
  NPD
• Healthland Housecall Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Warren, MI
  • NPI 1760029581
  NPD (past)
• Lake Mi Mobile Doctors PC

  dba Mobile Doctors of Flint

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1437492055

  Podiatrist

  NPD (past)
• Lake Mi Mobile Doctors, P.C.

  dba Mobile Doctors of St. Louis

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1992057566

  Podiatrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1457566341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 FORDHAM ST",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201412",
            "telephone_number": "313-384-7300",
            "fax_number": "248-747-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 FORDHAM ST",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201412",
            "telephone_number": "313-384-7300",
            "fax_number": "248-747-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHUELL",
        "first_name": "CHANTALE",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Markowitz, M.D., P.C.
• Issam S Asad, M.D.
• Ashok Gupta, M.D., P.L.L.C.
• Anita Attisha
• Brett Austin Birnbaum, PT, DPT
• Mary Lee Boyd, LMT
• Jane Ann Carvell
• Casselman Chiropractic PC (Harbor Family Chiropractic Center)
• Daniel Jeffrey Casselman, D.C.
• Suhila Cassini, AROMATHERAPY PRACT.

• Podiatrist in Keego Harbor, MI
• Providers in Keego Harbor, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.