Gene Caicco,D.P.M., PLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001745 Issued in MI

Legal business name

GENE CAICCO,D.P.M., PLC

Practice address

11900 E 12 Mile Rd
Suite 102
Warren, MI 48093-3487

Phone

(586) 573-7470

Fax

(586) 573-0850

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gene Joseph Caicco, D.P.M.NPI 1568462133

Title

Owner Podiatrist

Phone

(586) 573-7470

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gene Caicco, DPM

  • Podiatrist
  • Warren, MI
  • NPI 1568462133
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1619062825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 102",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933487",
            "telephone_number": "586-573-7470",
            "fax_number": "586-573-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 102",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933487",
            "telephone_number": "586-573-7470",
            "fax_number": "586-573-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE CAICCO,D.P.M., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "CAICCO",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER PODIATRIST",
        "authorized_official_telephone_number": "586-573-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4246887",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "48OE01215",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CH7071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Rangae Gayle, PT, DPT
• Dale Gaylock
• Elora Danan Gee
• Danielle Gehlert, DDS
• Elizabeth Genaw, PHARMD
• Generations Wellness Center
• Generations Wellness Center Inc
• Genie Physical Therapy, LLC
• Gentle Dental Warren PLLC
• Gentle Hearts Home Care

• Podiatrist in Warren, MI
• Providers in Warren, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.