Gretta Shara, DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001789 Issued in MI

Legal business name

GRETTA SHARA, DPM, PC

Doing business as

Armada Foot and Ankle Clinic

Practice address

23064 E Main St
Armada, MI 48005-4705

Phone

(586) 784-0184

Fax

(586) 784-5227

NPI assigned

May 27, 2008

Last updated

Mar 31, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gretta Shara, DPMNPI 1679535942

Title

President

Phone

(586) 784-0184

Specialties & licenses 3

Addresses

Other names 1

• Armada Foot and Ankle Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretta Shara, DPM

  • Foot & Ankle Surgery Podiatrist
  • Armada, MI
  • NPI 1679535942
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1003074089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480050907",
            "telephone_number": "586-784-0184",
            "fax_number": "586-784-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23064 E MAIN ST",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480054705",
            "telephone_number": "586-784-0184",
            "fax_number": "586-784-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETTA SHARA, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "SHARA",
        "authorized_official_first_name": "GRETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-784-0184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001789",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901001789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Armada Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Armada, MI
• Providers in Armada, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.