NPIMap

Organization Active NPI

Troy Foot and Ankle PC

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
National Provider Identifier
1104011493
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
TS001984 Issued in MI
Legal business name
TROY FOOT AND ANKLE PC
Practice address
4550 Investment Dr
Ste 280
Troy, MI 48098-6363
Phone
(248) 312-0767
Fax
(248) 312-0840
NPI assigned
Sep 10, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Tad D SprungerNPI 1306922760
Title
President
Phone
(248) 312-0767

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 Podiatrist 213ES0103X TS001984 MI Primary

Addresses

Primary practice location

4550 Investment Dr
Ste 280
Troy, MI 48098-6363

Mailing address

4550 Investment Dr
Ste 280
Troy, MI 48098-6363
Phone (248) 312-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000922 MI Part B Supplier - Clinic/Group Practice 4587647797 Receives reassigned benefits from 3 practitioners
Practice locations: Troy, MI

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Troy Foot and Ankle PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4550 Investment Dr
Ste 280
Troy, MI 48098
Phone (248) 312-0767

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1104011493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DR",
            "address_2": "STE 280",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986363",
            "telephone_number": "248-312-0767",
            "fax_number": "248-312-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DR",
            "address_2": "STE 280",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986363",
            "telephone_number": "248-312-0767",
            "fax_number": "248-312-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SPRUNGER",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-312-0767",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "TS001984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.