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FOREST HILLS PODIATRY NPI 1447455415


NPI Information

NPI: 1447455415
Provider Name: FOREST HILLS PODIATRY

Former Legal Business Name: FOREST HILLS PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4915 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 942-5061
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FOREST HILLS PODIATRY is a podiatrist in Grand Rapids, 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. FOREST HILLS PODIATRY NPI is 1447455415. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Forest Hills Podiatry.

The provider's business location address is:

4915 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546-722
Phone: (616) 942-5061

The provider's authorized official is Michael J Trompen .
The authorized official title is Phyisican and has the following contact phone number (616) 942-5061.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 9/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristMT001332MICHIGANYes

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
1T34014MEDICARE UPINMICHIGAN
20P18820MEDICARE PINMICHIGAN
35364370001MEDICARE NSCMICHIGAN

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

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