NPIMap

Organization Active NPI

Great Lakes Foot & Ankle Institute PLLC

  • Foot & Ankle Surgery Podiatrist
  • Chesterfield, MI
National Provider Identifier
1063445237
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GREAT LAKES FOOT & ANKLE INSTITUTE PLLC
Practice address
32743 23 Mile Rd Ste 110
Chesterfield, MI 48047-2082
Phone
(586) 725-3444
Fax
(586) 725-0984
NPI assigned
Jul 9, 2006
Last updated
May 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Authorized official

Name
Stephen Frascone, DPMNPI 1477597961
Title
Owner
Phone
(586) 725-3444

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

32743 23 Mile Rd Ste 110
Chesterfield, MI 48047-2082

Mailing address

9400 S Cicero Ave Ste 100
Oak Lawn, IL 60453-2536
Phone (708) 424-3201

Other practice location 1

14555 LeVan Rd Ste E302
Livonia, MI 48154-5042
Phone (734) 591-6612

Other practice location 2

29201 Telegraph Rd Ste 100
Southfield, MI 48034-7630
Phone (248) 353-9300

Other practice location 3

13350 24 Mile Rd Ste 600
Shelby Twp, MI 48315-1827
Phone (586) 725-3444

Other practice location 4

4190 24th Ave Ste 102
Fort Gratiot, MI 48059-3883
Phone (586) 725-3444

Other practice location 5

43900 Garfield Rd Ste 140
Clinton Twp, MI 48038-1137
Phone (586) 725-3444

Other practice location 6

1135 W University Dr Ste 305
Rochester, MI 48307-1892
Phone (586) 725-3444

Other names 1

  • Great Lakes Foot & Ankle Institute PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041028000887 MI Part B Supplier - Clinic/Group Practice 1557323904 Receives reassigned benefits from 18 practitioners
Practice locations: Chesterfield, MI; Clinton TWP, MI; Fort Gratiot, MI; Livonia, MI; Rochester, MI; Shelby TWP, MI; Southfield, MI
O20100930089489 MI DME Supplier - Physician - Podiatry 1557323904 Practice locations: Chesterfield, MI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

32743 23 Mile Rd
Ste 110
Chesterfield, MI 48047
Phone (586) 404-9703

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1063445237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S CICERO AVE STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532536",
            "telephone_number": "708-424-3201",
            "fax_number": "708-424-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32743 23 MILE RD STE 110",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472082",
            "telephone_number": "586-725-3444",
            "fax_number": "586-725-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14555 LeVan Rd Ste E302",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481545042",
            "country_code": "US",
            "telephone_number": "734-591-6612",
            "fax_number": "734-591-6625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29201 Telegraph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480347630",
            "country_code": "US",
            "telephone_number": "248-353-9300",
            "fax_number": "248-353-9303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13350 24 Mile Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483151827",
            "country_code": "US",
            "telephone_number": "586-725-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4190 24th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Gratiot",
            "state": "MI",
            "postal_code": "480593883",
            "country_code": "US",
            "telephone_number": "586-725-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43900 Garfield Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480381137",
            "country_code": "US",
            "telephone_number": "586-725-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 W University Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071892",
            "country_code": "US",
            "telephone_number": "586-725-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT LAKES FOOT & ANKLE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "FRASCONE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-725-3444",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Foot & Ankle Institute PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.