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KALAMAZOO FOOT SURGERY P.C. NPI 1780763870


NPI Information

NPI: 1780763870
Provider Name: KALAMAZOO FOOT SURGERY, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1212 S PARK ST
KALAMAZOO, MI
ZIP 49001
Phone: (269) 344-0874
Get Directions

KALAMAZOO FOOT SURGERY, P.C. is a podiatrist in Kalamazoo, 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. KALAMAZOO FOOT SURGERY, P.C. NPI is 1780763870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1212 S PARK ST
KALAMAZOO, MI
ZIP 49001-600
Phone: (269) 344-0874
Fax: (269) 344-7256

The provider's authorized official is Rick William Tiller .
The authorized official title is Doctor and has the following contact phone number (269) 344-0874.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 4/17/2023.


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
1213E00000XPodiatristMICHIGANYes

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
1480C97640OTHERMICHIGANBLUE CARE NETWORK
20432570002OTHERMICHIGANDME
3480C97640OTHERMICHIGANBLUE CROSS BLUE SHIELD

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

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