CAPITAL FOOT & ANKLE CENTERS PC NPI 1104941400

NPI Information

NPI: 1104941400
Provider Name: CAPITAL FOOT & ANKLE CENTERS, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2270 JOLLY OAK RD
SUITE 1
OKEMOS, MI
ZIP 48864
Phone: (517) 853-8951
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CAPITAL FOOT & ANKLE CENTERS, PC is a foot and ankle surgery podiatrist in Okemos, MI. CAPITAL FOOT & ANKLE CENTERS, PC NPI is 1104941400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2270 JOLLY OAK RD
SUITE 1
OKEMOS, MI
ZIP 48864-528
Phone: (517) 853-8951
Fax: (517) 913-5996

The provider's authorized official is Joseph Vincent Gonzalez .
The authorized official title is President and has the following contact phone number (517) 853-8951.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/24/2008.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	JG002023	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	4892840001	MEDICARE NSC	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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