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MEDICAL CENTER FOOT AND ANKLE PC NPI 1922173194


NPI Information

NPI: 1922173194
Provider Name: MEDICAL CENTER FOOT AND ANKLE PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
15873 MIDDLEBELT RD
STE 400
LIVONIA, MI
ZIP 48154
Phone: (734) 485-0060
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MEDICAL CENTER FOOT AND ANKLE PC is a podiatrist in Livonia, 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. MEDICAL CENTER FOOT AND ANKLE PC NPI is 1922173194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15873 MIDDLEBELT RD
STE 400
LIVONIA, MI
ZIP 48154-896
Phone: (734) 485-0060

The provider's authorized official is Cindy Smith .
The authorized official title is Billing Department and has the following contact phone number (586) 574-0500.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 3/5/2015.


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
1213E00000XPodiatristCK000960MICHIGANYes

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
12932693MEDICAIDMICHIGAN
20Q24567MEDICARE PINMICHIGAN
31654321MEDICAIDMICHIGAN
42932700MEDICAIDMICHIGAN
5480017380MEDICARE PINMICHIGAN
6480Q245670OTHERMICHIGANBLUE CROSS BLUE SHIELD

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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