Podcare PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901400227 Issued in MI

Legal business name

PODCARE PC

Practice address

8244 Metro Pkwy
Sterling Heights, MI 48312-2778

Phone

(586) 795-4060

Fax

(586) 795-9956

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Steven J Repitor, MDNPI 1689601353

Title

Owner

Phone

(586) 795-4060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven J Repitor, DPM

  • Podiatrist
  • Sterling Heights, MI
  • NPI 1689601353
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1194760835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 KEELEY CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "586-795-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 METRO PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122778",
            "telephone_number": "586-795-4060",
            "fax_number": "586-795-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "REPITOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-795-4060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4835330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Marie Poirier, LMSW
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• Crystal Polderdyke, LMSW
• Catherine Poleski
• Sarah Polina, PHAMD

• Podiatrist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.