Organization Active NPI

Karen Potchynok, D.P.M., P.C.

  • Podiatrist
  • Clinton Township, MI
National Provider Identifier
1386916351
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001517 Issued in MI
Legal business name
KAREN POTCHYNOK, D.P.M., P.C.
Practice address
18645 Canal Rd
Suite 5
Clinton Township, MI 48038-5822
Phone
(586) 228-9660
Fax
(586) 228-1324
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Karen Marie Potchynok-Lund, D.P.M.
Title
President
Phone
(586) 228-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001517 MI Primary

Addresses

Primary practice location

18645 Canal Rd
Suite 5
Clinton Township, MI 48038-5822

Mailing address

18645 Canal Rd
Suite 5
Clinton Township, MI 48038-5822
Phone (586) 228-9660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1386916351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18645 CANAL RD",
            "address_2": "SUITE 5",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385822",
            "telephone_number": "586-228-9660",
            "fax_number": "586-228-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18645 CANAL RD",
            "address_2": "SUITE 5",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385822",
            "telephone_number": "586-228-9660",
            "fax_number": "586-228-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN POTCHYNOK, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "POTCHYNOK-LUND",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-228-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.