Active NPI
HPFC Inc
- Foot Surgery Podiatrist
- Detroit, MI
National Provider Identifier
1144431669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 5901001377
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480H231720 | Other | MI | BCBS PIN |
| 131753526 | Medicaid | MI |
Other names 1
- Highland Park Foot Clinic Inc.
National Provider Directory
National Provider DirectoryLocations
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.