Envision Medical Group PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

ENVISION MEDICAL GROUP PLLC

Practice address

422 N Center St
Suite B
Northville, MI 48167-1224

Phone

(248) 449-7156

NPI assigned

Apr 26, 2010

Organization subpart

No

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

Authorized official

Name

Michael Wayne, DO

Title

Managing Partner

Phone

(248) 348-8700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1235456609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27275 HAGGERTY RD STE 500",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773635",
            "telephone_number": "248-741-6901",
            "fax_number": "248-721-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N CENTER ST",
            "address_2": "SUITE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671224",
            "telephone_number": "248-449-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "248-348-8700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ellington
• Sandra L Elliott, F.N.P.
• Dawn Enderle, CD(DONA)
• Lauren Justine Enfroy, LPC
• Dennis E. Engerer, P.T.
• Envision Medical Group PLLC
• Envision Medical Group PLLC
• Mary Ericson, LMT
• Es Health Services, LLC
• Lisa Marie Esparza-Sadikot

• Foot Surgery Podiatrist in Northville, MI
• Providers in Northville, MI by specialty
• Foot Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.