FEET FIRST P C NPI 1497822712

NPI Information

NPI: 1497822712
Provider Name: FEET FIRST P C
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
2300 HAGGERTY RD
S-1175
WEST BLOOMFIELD, MI
ZIP 48323
Phone: (248) 624-8338
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FEET FIRST P C is a primary podiatric medicine podiatrist in West Bloomfield, MI. FEET FIRST P C NPI is 1497822712. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2300 HAGGERTY RD
S-1175
WEST BLOOMFIELD, MI
ZIP 48323-184
Phone: (248) 624-8338
Fax: (248) 926-9498

The provider's authorized official is Ellen Mady .
The authorized official title is President and has the following contact phone number (248) 624-8338.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/14/2010.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine			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	5357612	OTHER	MICHIGAN	AETNA
2	=========	OTHER	MICHIGAN	PPOM
3	480F318320	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
4	0N11860	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE GROUP NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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