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COMMUNITY PODIATRY GROUP P.C. NPI 1891725818


NPI Information

NPI: 1891725818
Provider Name: COMMUNITY PODIATRY GROUP, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1303 S LINDEN RD STE D
FLINT, MI
ZIP 48532
Phone: (810) 230-0177
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COMMUNITY PODIATRY GROUP, P.C. is a foot and ankle surgery podiatrist in Flint, MI. COMMUNITY PODIATRY GROUP, P.C. NPI is 1891725818. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1303 S LINDEN RD STE D
FLINT, MI
ZIP 48532-442
Phone: (810) 230-0177
Fax: (810) 230-8090

The provider's authorized official is David T Taylor .
The authorized official title is Owner and has the following contact phone number (810) 230-0177.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 3/10/2009.


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
1213ES0103XPodiatristFoot & Ankle Surgery5901002073MICHIGANYes

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
11004870001MEDICARE NSCMICHIGAN
2480B56155OTHERMICHIGANBLUE CROSS BLUE SHIELD
3OB56155MEDICARE UPINMICHIGAN

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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