U.P. Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001869 Issued in MI

Legal business name

U.P. PODIATRY

Practice address

23999 Northwestern Hwy
Suite 220
Southfield, MI 48075-2578

Phone

(248) 996-6465

Fax

(248) 996-6469

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth D Mitchell, DPM

Title

Ceo

Phone

(248) 996-6465

Specialties & licenses 1

Addresses

Tax ID family

U P Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• U P Podiatry

  • Primary Podiatric Medicine Podiatrist
  • Southfield, MI
  • NPI 1366732935
  NPD tax ID

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1396036604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23999 NORTHWESTERN HIGHWAY",
            "address_2": "SUITE 220",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-996-6465",
            "fax_number": "248-996-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23999 NORTHWESTERN HWY",
            "address_2": "SUITE 220",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752578",
            "telephone_number": "248-996-6465",
            "fax_number": "248-996-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.P. PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-996-6465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Tynan, M.A., LPC
• Tekyra Tyree
• Tyrone Chatman Etal PTR Martrilla Ross Gen PTR (Acupuncture Treatment Concepts)
• Payton Tyrrell
• U P Podiatry
• Victor Ubom, DO
• Imo Patricia Udo-Inyang, MD
• Patricia A Uhrin, CRNA
• Essence Latoya Uke, LLMSW
• Uko Ekaiko

• Podiatrist in Southfield, MI
• Providers in Southfield, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.