Ann Arbor Foot Clinic P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002011 Issued in MI

Legal business name

ANN ARBOR FOOT CLINIC P.C.

Practice address

2550 Dexter Rd
Ann Arbor, MI 48103-2702

Phone

(734) 994-9111

Fax

(734) 994-4410

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lori Ann Sheldon, D.P.M.

Title

President

Phone

(734) 994-9111

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1083892178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DEXTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032702",
            "telephone_number": "734-994-9111",
            "fax_number": "734-994-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DEXTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032702",
            "telephone_number": "734-994-9111",
            "fax_number": "734-994-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR FOOT CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-994-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002011",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901002011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "480H16064",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE TRADITIONAL & TRUST",
            "identifier": "4858150120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.