NPIMap

Organization Active NPI

Affiliated Foot & Ankle Clinic, P.L.L.C.

  • Podiatrist
  • Detroit, MI
National Provider Identifier
1396095246
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001535 Issued in MI
Legal business name
AFFILIATED FOOT & ANKLE CLINIC, P.L.L.C.
Practice address
3930 E 8 Mile Rd
Detroit, MI 48234-1012
Phone
(313) 368-1557
NPI assigned
Sep 18, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Rondy Goins, DPMNPI 1508904798
Title
Owner
Phone
(313) 368-1557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001535 MI Primary

Addresses

Primary practice location

3930 E 8 Mile Rd
Detroit, MI 48234-1012

Mailing address

3930 E 8 Mile Rd
Detroit, MI 48234-1012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1396095246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341012",
            "telephone_number": "313-368-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED FOOT & ANKLE CLINIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "RONDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-368-1557",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.