NPIMap

Organization Active NPI

Visiting Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Southfield, MI
National Provider Identifier
1295034593
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
VISITING PODIATRY PLLC
Practice address
21540 W 11 Mile Rd
Ste 150
Southfield, MI 48076-3843
Phone
(248) 213-6680
Fax
(877) 396-5966
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Dr. Lynn Beatty, M.D.
Title
Owner
Phone
(248) 824-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X MI
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X MI Primary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X MI

Addresses

Primary practice location

21540 W 11 Mile Rd
Ste 150
Southfield, MI 48076-3843

Mailing address

PO Box 4839
Troy, MI 48099-4839
Phone (248) 824-6600

National Provider Directory

National Provider Directory

Locations

4348 Southpoint Blvd
#100A
Jacksonville, FL 32216
Phone (904) 438-3040

7352 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 452-0470

3033 Kettering Blvd
#100A
Moraine, OH 45439
Phone (937) 294-5160

7322 Southwest Fwy
Ste 165
Houston, TX 77074
Phone (713) 988-1398

4545 Fuller Dr
Ste 325A
Irving, TX 75038
Phone (972) 791-8900

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1295034593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4839",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480994839",
            "telephone_number": "248-824-6600",
            "fax_number": "248-324-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21540 W 11 MILE RD",
            "address_2": "STE 150",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763843",
            "telephone_number": "248-213-6680",
            "fax_number": "877-396-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-824-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.