Organization Active NPI

Douglas a Cutcher DPM PLC

  • Podiatrist
  • Redford, MI
National Provider Identifier
1255513131
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DOUGLAS A CUTCHER DPM PLC
Practice address
26029 Five Mile Rd
Redford, MI 48239-3235
Phone
(313) 255-7900
Fax
(313) 255-7901
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Douglas A Cutcher, DPM
Title
Owner
Phone
(313) 255-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MI Primary

Addresses

Primary practice location

26029 Five Mile Rd
Redford, MI 48239-3235

Mailing address

26029 Five Mile Rd
Redford, MI 48239-3235
Phone (313) 255-7900

Other identifiers 3

IdentifierTypeStateIssuer
4216879MedicaidMI
485825602OtherMIBCBSM
540H228370OtherMIBCBSM DME

National Provider Directory

National Provider Directory

Locations

26029 5 Mile Rd
Redford, MI 48239
Phone (313) 255-7900

Practitioners & affiliated clinicians

Practitioners 1

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1255513131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26029 FIVE MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393235",
            "telephone_number": "313-255-7900",
            "fax_number": "313-255-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26029 FIVE MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393235",
            "telephone_number": "313-255-7900",
            "fax_number": "313-255-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A CUTCHER DPM PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CUTCHER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-255-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4216879",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "485825602",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM DME",
            "identifier": "540H228370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.