GENTLE FOOT CARE OF WESTERN OHIO INC. NPI 1891939682

NPI Information

NPI: 1891939682
Provider Name: GENTLE FOOT CARE OF WESTERN OHIO, INC.
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
3800 WOODWARD AVE STE 318
DETROIT, MI
ZIP 48201
Phone: (313) 833-3090
Get Directions

GENTLE FOOT CARE OF WESTERN OHIO, INC. is a podiatric clinic center in Detroit, MI. GENTLE FOOT CARE OF WESTERN OHIO, INC. NPI is 1891939682. The provider is registered as an organization entity type.

The provider's business location address is:

3800 WOODWARD AVE STE 318
DETROIT, MI
ZIP 48201-066
Phone: (313) 833-3090
Fax: (313) 833-7843

The provider's authorized official is Carmen Henderson .
The authorized official title is Credentials Specialist and has the following contact phone number (614) 457-3212.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 11/4/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier		5901002275	MICHIGAN	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		5901002275	MICHIGAN	No
3	261QP1100X	Clinic/Center	Podiatric	5901002275	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	1417136029	OTHER	MICHIGAN	MEDICARE NPI
2	1316191679	MEDICAID	MICHIGAN
3	1417136029	MEDICAID	MICHIGAN
4	6216330001	MEDICARE NSC	MICHIGAN
5	MI1225001	OTHER	MICHIGAN	MEDICARE PTAN
6	1316191679	OTHER	MICHIGAN	MEDICARE NPI
7	MI1225	OTHER	MICHIGAN	MEDICARE PTAN

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

NPI Synchronization or Removal

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