Organization Active NPI

Angela Renshaw, DPM, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Ann Arbor, MI
National Provider Identifier
1003935248
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001994 Issued in MI
Legal business name
ANGELA RENSHAW, DPM, PLLC
Practice address
3001 Plymouth Rd
Suite 105
Ann Arbor, MI 48105-3205
Phone
(734) 994-3668
Fax
(734) 994-4088
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Angela M Ostroski, DPMNPI 1265539324
Title
Owner
Phone
(810) 625-2744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901001994 MI Primary

Addresses

Primary practice location

3001 Plymouth Rd
Suite 105
Ann Arbor, MI 48105-3205

Mailing address

3001 Plymouth Rd
Suite 105
Ann Arbor, MI 48105-3205
Phone (734) 994-3668

Other identifiers 5

IdentifierTypeStateIssuer
0994547OtherMIHEALTH PLUS OF MICHIGAN
4409614MedicaidMI
4858112380OtherMIBLUE CROSS
4858112380OtherMIBLUE CARE NETWORK
4858112380OtherMIMEDICARE ADVANTAGE

National Provider Directory

National Provider Directory

Locations

G3380 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 733-1415

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1003935248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD",
            "address_2": "SUITE 105",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-994-3668",
            "fax_number": "734-994-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD",
            "address_2": "SUITE 105",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-994-3668",
            "fax_number": "734-994-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA RENSHAW, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "OSTROSKI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-625-2744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "0994547",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4409614",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4858112380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "4858112380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "4858112380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.