Troy Podiatrist PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SG000600 Issued in MI

Legal business name

TROY PODIATRIST PC

Practice address

4770 Rochester Rd
Suite 104
Troy, MI 48085-4951

Phone

(248) 689-5125

Fax

(248) 689-5688

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Glickman, DPMNPI 1730152141

Title

Owner

Phone

(248) 689-5125

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven H Glickman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
  • NPI 1730152141
  Medicare reassignment NPD Authorized official
• Sarah Christine Hewitt, DPM

  • Podiatrist
  • Grand Blanc, MI
  • NPI 1689024879
  Medicare reassignment NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1033219209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 ROCHESTER RD",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854951",
            "telephone_number": "248-689-5125",
            "fax_number": "248-689-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 ROCHESTER RD",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854951",
            "telephone_number": "248-689-5125",
            "fax_number": "248-689-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY PODIATRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "GLICKMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-689-5125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "SG000600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1375192-13",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C2490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480013308",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Metro Dental
• Troy Neuropathy Center PLLC
• Troy Pediatrics
• Troy Periodontics & Dental Implants
• Troy Physical Therapy Services LLC
• Troy Primary Care Center, P.C.
• Troy Professional Pharmacy Inc
• Troy RX Pharmacy LLC
• Troy SC Center LLC
• Troy Sleep Center, PLC

• Podiatrist in Troy, MI
• Providers in Troy, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.