Organization Active NPI

HPFC Inc

  • Foot Surgery Podiatrist
  • Detroit, MI
National Provider Identifier
1144431669
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901001377 Issued in MI
Legal business name
HPFC INC
Doing business as
Highland Park Foot Clinic Inc.
Practice address
18460 Revere St
Detroit, MI 48234-1726
Phone
(313) 865-4400
Fax
(313) 865-4400
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Ronald Eugene Wilson, D.P.M.
Title
Podiatrist
Phone
(313) 865-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 5901001377 MI Primary

Addresses

Primary practice location

18460 Revere St
Detroit, MI 48234-1726

Mailing address

18460 Revere St
Detroit, MI 48234-1726
Phone (313) 865-4400

Other identifiers 2

IdentifierTypeStateIssuer
480H231720OtherMIBCBS PIN
131753526MedicaidMI

Other names 1

  • Highland Park Foot Clinic Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

13714 Woodward Ave
Highland Park, MI 48203
Phone (313) 865-4400

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1144431669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18460 REVERE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341726",
            "telephone_number": "313-865-4400",
            "fax_number": "313-865-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18460 REVERE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341726",
            "telephone_number": "313-865-4400",
            "fax_number": "313-865-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPFC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "313-865-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901001377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "480H231720",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131753526",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Park Foot Clinic Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.