Scott T Grodman DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

001478 Issued in MI

Legal business name

SCOTT T GRODMAN DPM PC

Practice address

3055 Hilton Rd
Suite C
Ferndale, MI 48220-1096

Phone

(248) 547-2450

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Scott T Grodman, DPM

Title

Owner

Phone

(248) 547-2450

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1396946265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 HILTON RD",
            "address_2": "SUITE C",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201096",
            "telephone_number": "248-547-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 HILTON RD",
            "address_2": "SUITE C",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201096",
            "telephone_number": "248-547-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT T GRODMAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "GRODMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-547-2450",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "001478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DME",
            "identifier": "540H227900",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4858213180",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2948227",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Saunders, PA-C
• Alison McClain Schmidt, DNP, CNM, FNP-BC, RN
• Matthew Anthony Schoenherr, RN
• Karen Schroeder
• Sam Matthew Schwendiman, M.D.
• Sherry Regina Scott, LMSW
• Leora Selmar, LCSW
• SFT,Enterprises,Inc
• Amy Lynn Shagena
• Himal Shah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.