Advanced Foot & Ankle PC
Organization Active NPI Podiatrist · Clarkston, MI
NPI 1023129236 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1023129236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- ADVANCED FOOT & ANKLE PC
- Practice address
- 8631 Sequoyah CT
Clarkston, MI 48348-3467 - Phone
- (248) 762-2427
- Fax
- (248) 694-0984
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Rajeev Sehgal, DPM
- Title
- Owner
- Phone
- (248) 762-2427
Practitioners 3
-
Rajeev Sehgal, DPM
-
Tad D Sprunger, DPM
-
Scott Saxton Wilber, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050727000082 | MI | Part B Supplier - Clinic/Group Practice | 1658309158 |
Receives reassigned benefits from 1 practitioner Practice locations: Royal Oak, MI; Sault Sainte Marie, MI; Clarkston, MI |
National Provider Directory
Locations
32905 W 12 Mile Rd
Ste 110
Farmington Hills, MI 48334
Phone (248) 553-0016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | MI | Yes |
Addresses
Primary practice location
8631 Sequoyah CT
Clarkston, MI 48348-3467
Mailing address
8631 Sequoyah CT
Clarkston, MI 48348-3467
Phone (248) 762-2427
Other practice location 1
8631 Sequoyah Ct
Clarkston, MI 48348-3467
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.