ANGELA RENSHAW DPM PLLC NPI 1003935248

NPI Information

NPI: 1003935248
Provider Name: ANGELA RENSHAW, DPM, PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3001 PLYMOUTH RD
SUITE 105
ANN ARBOR, MI
ZIP 48105
Phone: (734) 994-3668
Get Directions

ANGELA RENSHAW, DPM, PLLC is a foot and ankle surgery podiatrist in Ann Arbor, MI. ANGELA RENSHAW, DPM, PLLC NPI is 1003935248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3001 PLYMOUTH RD
SUITE 105
ANN ARBOR, MI
ZIP 48105-205
Phone: (734) 994-3668
Fax: (734) 994-4088

The provider's authorized official is Angela M Ostroski .
The authorized official title is Owner and has the following contact phone number (810) 625-2744.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 1/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	5901001994	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4858112380	OTHER	MICHIGAN	BLUE CROSS
2	=========	OTHER	MICHIGAN	COFINITY
3	4858112380	OTHER	MICHIGAN	BLUE CARE NETWORK
4	4858112380	OTHER	MICHIGAN	MEDICARE ADVANTAGE
5	U90561	MEDICARE UPIN	MICHIGAN
6	4409614	MEDICAID	MICHIGAN
7	0994547	OTHER	MICHIGAN	HEALTH PLUS OF MICHIGAN
8	0P15770	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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