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ELITE PODIATRY PC NPI 1588770358


NPI Information

NPI: 1588770358
Provider Name: ELITE PODIATRY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
32910 W 13 MILE RD
SUITE C300
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 996-1020
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ELITE PODIATRY PC is a podiatrist in Farmington Hills, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ELITE PODIATRY PC NPI is 1588770358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32910 W 13 MILE RD
SUITE C300
FARMINGTON HILLS, MI
ZIP 48334-980
Phone: (248) 996-1020
Fax: (248) 996-1023

The provider's authorized official is Alexsey Kheynson .
The authorized official title is Owner President and has the following contact phone number (248) 996-1020.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 5/4/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V02502OTHERMICHIGANHAP
21497804306OTHERMICHIGANNPI
31487771473OTHERMICHIGANNPI
4V09910MEDICARE UPINMICHIGAN
54856316840OTHERMICHIGANBC FOR DALEY
6P34620001MEDICARE PINMICHIGAN
7P3462002MEDICARE PINMICHIGAN
8P34620007MEDICARE PINMICHIGAN
91952373201OTHERMICHIGANNPI FOR ALEX
105957970001MEDICARE NSCMICHIGAN
111487771473MEDICARE PINMICHIGAN
121760614390MEDICARE PINMICHIGAN
13V09910OTHERMICHIGANHAP FERN
14DG0290OTHERMICHIGANMT
15480F367590OTHERMICHIGANBC GROUP
16480H229190OTHERMICHIGANBC GROUP
171134212889OTHERMICHIGANNPI
181134235088OTHERMICHIGANNPI FERNANDO
19P34620003MEDICARE PINMICHIGAN
20P34620012MEDICARE PINMICHIGAN
214856314380OTHERMICHIGANALEXSEY KHEYNSON BC
221770773905MEDICAIDMICHIGAN
231598984189MEDICAIDMICHIGAN
24025519OTHERMICHIGANMIDWEST ADV
25025521OTHERMICHIGANMIDWEST DALEY
261760614390OTHERMICHIGANNPI
27V02502MEDICARE UPINMICHIGAN
284935012MEDICAIDMICHIGAN
294935003MEDICAIDMICHIGAN
304858214620OTHERMICHIGANFERNANDO QUIRINDONGO BC
311598984189OTHERMICHIGANNPI FOR DALEY
32144640OTHERMICHIGANPREFERRED CHOICE PPO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.