Podcare PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

RP400227 Issued in MI

Legal business name

PODCARE PC

Practice address

3592 Center Ave
Essexville, MI 48732-1760

Phone

(989) 791-2455

Fax

(989) 791-1392

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Stephen Repitor, DPM

Title

President

Phone

(989) 791-2455

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Podcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Podcare

  • Podiatrist
  • Saint Clair Shores, MI
  • NPI 1114239886
  NPD tax ID

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1003128778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032267",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 CENTER AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321760",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "REPITOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-791-2455",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "RP400227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194760835",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Roxanne Pfaffenbach
• Trang H Phan, PA-C
• Timothy Phillips
• Thomas D Plamondon Jr., PA-C
• Taegan Alycia Pletzke, FNP-BC
• Kayle Rose Polega, MSOT, OTRL
• Misty Potts, RDN
• Hailee Maree Prahl
• Mary Anne Putt, N.P.
• Victor Putz, DPM

• All providers in Essexville, MI
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.