Organization Active NPI

Shelby Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
National Provider Identifier
1174953335
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
RM002147 Issued in MI
Legal business name
SHELBY FOOT & ANKLE PLLC
Practice address
G3302 Beecher Rd
Flint, MI 48532-3614
Phone
(810) 230-9955
Fax
(810) 230-8838
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Ronald Martin, DPMNPI 1295762888
Title
Owner
Phone
(586) 580-3728

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X RM002147 MI Primary

Addresses

Primary practice location

G3302 Beecher Rd
Flint, MI 48532-3614

Mailing address

50505 Schoenherr Rd
Suite 230
Shelby Township, MI 48315-3140
Phone (586) 580-3728

National Provider Directory

National Provider Directory

Locations

4091 W Vienna Rd
Clio, MI 48420
Phone (810) 687-7350

7300 Dexter Ann Arbor Rd
Ste 100
Dexter, MI 48130
Phone (248) 506-0923

G3302 Beecher Rd
Flint, MI 48532
Phone (810) 230-9955

Practitioners & affiliated clinicians

Practitioners 4

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": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1174953335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 230",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-580-3728",
            "fax_number": "586-580-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3302 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323614",
            "telephone_number": "810-230-9955",
            "fax_number": "810-230-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-580-3728",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "RM002147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.