NPIMap

Organization Active NPI

Foot Specialists, PC

  • Podiatrist
  • Warren, MI
National Provider Identifier
1316041742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
CY000630 Issued in MI
Legal business name
FOOT SPECIALISTS, PC
Practice address
11995 E 12 Mile Rd
Ste 202B
Warren, MI 48093
Phone
(586) 755-4242
Fax
(586) 755-6231
NPI assigned
Sep 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marshall G Solomon, DPM
Title
Sec/Treasurer
Phone
(586) 755-4242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MS000671 MI
Podiatrist 213E00000X CY000630 MI Primary

Addresses

Primary practice location

11995 E 12 Mile Rd
Ste 202B
Warren, MI 48093

Mailing address

11995 E 12 Mile Rd
Ste 202B
Warren, MI 48093
Phone (586) 755-4242

National Provider Directory

National Provider Directory
Tax ID family
Foot Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316041742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 E 12 MILE RD",
            "address_2": "STE 202B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-755-4242",
            "fax_number": "586-755-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 E 12 MILE RD",
            "address_2": "STE 202B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-755-4242",
            "fax_number": "586-755-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SEC/TREASURER",
        "authorized_official_telephone_number": "586-755-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "MS000671",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "CY000630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.