ELDER FOOT CARE PC NPI 1578535019

NPI Information

NPI: 1578535019
Provider Name: ELDER FOOT CARE, PC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
7001 ORCHARD LAKE RD
SUITE 230B
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 855-3232
Get Directions

ELDER FOOT CARE, PC is a primary podiatric medicine podiatrist in West Bloomfield, MI. ELDER FOOT CARE, PC NPI is 1578535019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7001 ORCHARD LAKE RD
SUITE 230B
WEST BLOOMFIELD, MI
ZIP 48322-604
Phone: (248) 855-3232
Fax: (248) 855-3338

The provider's authorized official is Mitchell S Wayne .
The authorized official title is President/owner and has the following contact phone number (248) 855-3232.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 10/4/2007.

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	5901400097	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	0F31907	OTHER	MICHIGAN	BLUE CARE NETWORK
2	HEALTH ALLIANCE PLAN	OTHER	MICHIGAN	50036704
3	0N49300	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
4	0F31907	OTHER	MICHIGAN	BCBS MICHIGAN
5	DA4202	OTHER	MICHIGAN	MEDICARE RAILROAD
6	CJ9120	OTHER	MICHIGAN	RAILROAD MEDICARE
7	0993429	OTHER	MICHIGAN	HEALTH PLUS OF MICHIGAN
8	7556372	OTHER	MICHIGAN	AETNA
9	0N49200	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: 5/5/2024

NPI Synchronization or Removal

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