Active NPI
Metrocare Visiting Physicians PLLC
- Podiatrist
- Troy, MI
National Provider Identifier
1255963401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- METROCARE VISITING PHYSICIANS PLLC
- Practice address
- 5700 Crooks Rd Ste 108
Troy, MI 48098-2818 - Phone
- (248) 353-6200
- NPI assigned
- Feb 6, 2020
- Last updated
- Mar 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dustin Hayes
- Title
- Ceo
- Phone
- (586) 321-6569
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Podiatrist | 213E00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Clinical Nurse Specialist | 364S00000X |
Addresses
Primary practice location
5700 Crooks Rd Ste 108
Troy, MI 48098-2818
Mailing address
3785 Bay Rd
Saginaw, MI 48603-2433
Phone (989) 791-2455
National Provider Directory
National Provider DirectoryLocations
28300 Franklin Rd
Southfield, MI 48034
Phone (248) 353-6200
Practitioners & affiliated clinicians
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.
-
- Nurse Practitioner
- Livonia, MI
- NPI 1043772098
-
- Family Nurse Practitioner
- Southfield, MI
- NPI 1336633551
-
- Critical Care Medicine Registered Nurse
- Southfield, MI
- NPI 1487290045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615939200000",
"number": "1255963401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032433",
"telephone_number": "989-791-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 CROOKS RD STE 108",
"city": "TROY",
"state": "MI",
"postal_code": "480982818",
"telephone_number": "248-353-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROCARE VISITING PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-06",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "DUSTIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "586-321-6569"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.