South Lyon Foot & Ankle Specialists, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTH LYON FOOT & ANKLE SPECIALISTS, P.C.

Practice address

22245 Pontiac TRL
South Lyon, MI 48178-1639

Phone

(248) 486-8886

Fax

(248) 486-8887

NPI assigned

Aug 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Mastrogiocomo, DPM

Title

Owner/President/Podiatrist

Phone

(248) 486-8886

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Anthony Marc Mastrogiacomo, D.P.M

  • Podiatrist
  • South Lyon, MI
  • NPI 1720055387
  Medicare reassignment Care Compare group NPD
• Meaghan Stoinski, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Brighton, MI
  • NPI 1639582851
  Medicare reassignment Care Compare group NPD
• Rachel N Freedland, LLMSW

  • Clinical Social Worker
  • Oak Park, MI
  • NPI 1699801746

  Podiatrist

  NPD (past)
• Harvey Mark Lefkowitz, D.P.M.

  • Podiatrist
  • Ferndale, MI
  • NPI 1861499519
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003809682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22245 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781639",
            "telephone_number": "248-486-8886",
            "fax_number": "248-486-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22245 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781639",
            "telephone_number": "248-486-8886",
            "fax_number": "248-486-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LYON FOOT & ANKLE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MASTROGIOCOMO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PODIATRIST",
        "authorized_official_telephone_number": "248-486-8886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4856311830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Lyon Chiropractic PLLC
• South Lyon Dental Group, P.L.C.
• South Lyon Dermatology, PC
• South Lyon Family Docs PC
• South Lyon Family Physicians, PLLC
• South Lyon Orthodontics, PC
• South Lyon Pediatric Dentistry PLLC
• South Lyon Pharmacy LLC
• South Lyon Senior Care and Rehab Center, LLC
• Specialty Medicine Compounding Pharmacy

• Podiatrist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.