NORTHWEST PODIATRY PC NPI 1821109836

NPI Information

NPI: 1821109836
Provider Name: NORTHWEST PODIATRY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5755 W MAPLE RD
STE 115
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 626-7180
Get Directions

NORTHWEST PODIATRY PC is a podiatrist in West Bloomfield, 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. NORTHWEST PODIATRY PC NPI is 1821109836. The provider is registered as an organization entity type.

The provider's business location address is:

5755 W MAPLE RD
STE 115
WEST BLOOMFIELD, MI
ZIP 48322-415
Phone: (248) 626-7180
Fax: (248) 626-7175

The provider's authorized official is Alan Schram .
The authorized official title is Vice President and has the following contact phone number (248) 626-7180.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/28/2010.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	213E00000X	Podiatrist				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	HR001598	OTHER	MICHIGAN	LICENSE
2	AS400226	OTHER	MICHIGAN	LICENSE
3	480F371150	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
4	0F37115	MEDICARE PIN	MICHIGAN
5	LH000829	OTHER	MICHIGAN	LICENSE
6	0828050001	MEDICARE NSC

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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