Shores Foot and Ankle Center LTD.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SHORES FOOT AND ANKLE CENTER LTD.

Practice address

22719 Garfield St
Saint Clair Shores, MI 48082-1857

Phone

(586) 294-7250

Fax

(586) 294-7251

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Raymond J Farrar, D.P.M.NPI 1730204181

Title

President

Phone

(586) 484-7277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond J Farrar

  • Foot & Ankle Surgery Podiatrist
  • Saint Clair Shores, MI
  • NPI 1730204181
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1003124140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22719 GARFIELD ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821857",
            "telephone_number": "586-484-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22719 GARFIELD ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821857",
            "telephone_number": "586-294-7250",
            "fax_number": "586-294-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES FOOT AND ANKLE CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-484-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shorepointe Optical Inc
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• Shores Dental Center, P.C.
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• Shores Medical Associates PLLC
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• Shores Primary Care, P.C.
• Shores Psychiatric Associates, P.C.

• Foot & Ankle Surgery Podiatrist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.