Active NPI
Michelle R. Achor DPM LLC
- Podiatrist
- Troy, OH
National Provider Identifier
1174804256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36.003487
- Legal business name
- MICHELLE R. ACHOR DPM LLC
- Practice address
- 47 S Stanfield Rd
Troy, OH 45373-2992 - Phone
- (937) 339-4330
- Fax
- (937) 335-5234
- NPI assigned
- Sep 2, 2011
- 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. Michelle R Achor, DPM
- Title
- Podiatrist
- Phone
- (937) 339-4330
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.003487 | OH | Primary |
Addresses
Primary practice location
47 S Stanfield Rd
Troy, OH 45373-2992
Mailing address
47 S Stanfield Rd
Troy, OH 45373-2992
Phone (937) 339-4330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052264 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111024000726 | OH | Part B Supplier - Clinic/Group Practice | 4880867662 |
Receives reassigned benefits from 2 practitioners Practice locations: Troy, OH |
| O20111118000395 | OH | DME Supplier - Physician - Podiatry | 4880867662 | Practice locations: Troy, OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325030400000",
"number": "1174804256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 S STANFIELD RD",
"city": "TROY",
"state": "OH",
"postal_code": "453732992",
"telephone_number": "937-339-4330",
"fax_number": "937-335-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 S STANFIELD RD",
"city": "TROY",
"state": "OH",
"postal_code": "453732992",
"telephone_number": "937-339-4330",
"fax_number": "937-335-5234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE R. ACHOR DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-02",
"last_updated": "2011-12-28",
"status": "A",
"authorized_official_last_name": "ACHOR",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "937-339-4330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OH",
"license": "36.003487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052264",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.