Clawson Footcare Specialists PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

5901001699 Issued in MI

Legal business name

CLAWSON FOOTCARE SPECIALISTS PC

Practice address

615 W 14 Mile Rd
Clawson, MI 48017-1901

Phone

(248) 288-8900

Fax

(248) 288-8989

NPI assigned

Sep 28, 2006

Last updated

Nov 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian E Homer, D.P.M, P.C.NPI 1326024183

Title

Owner

Phone

(248) 288-8900

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Brian E. Homer Other name

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Eric Homer, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Clawson, MI
  • NPI 1326024183
  Medicare reassignment NPD Authorized official
• Scott Homer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Clair Shores, MI
  • NPI 1194141010
  Medicare reassignment NPD
• Brian Scott Dressler, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Warren, MI
  • NPI 1134277387
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1215029418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W. 14 MILE ROAD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171901",
            "telephone_number": "248-288-8900",
            "fax_number": "248-288-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171901",
            "telephone_number": "248-288-8900",
            "fax_number": "248-288-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAWSON FOOTCARE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "HOMER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-288-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M, P.C."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901001699",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901001699",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "5901001699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI DME",
            "identifier": "0F383890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "0F31808",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1283450001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480018640",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133153308",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian E. Homer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Smita S Chavan
• Chiropractic Services PLLC
• Clawson Care Pharmacy LLC
• Clawson Care Pharmacy LLC
• Clawson Family Dental, PLLC
• Clawson Health Management and Services
• Clawson Internist PC
• Clawson Medical Center PLLC
• Clawson Opco LLC
• Sheila Marie Clay, RN MSN FNP

• Podiatric Clinic/Center in Clawson, MI
• Providers in Clawson, MI by specialty
• Podiatric Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.