Adult and Child Podiatric Care P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901000748 Issued in MI

Legal business name

ADULT AND CHILD PODIATRIC CARE P.C.

Practice address

43171 Dalcoma Dr
Suite #5
Clinton TWP, MI 48038-6307

Phone

(586) 263-4524

Fax

(586) 263-4290

NPI assigned

Jun 4, 2007

Last updated

Feb 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Dennis Pitzer, DPM

Title

President

Phone

(586) 263-4524

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephen D. Pitzer D.P.M. Other name

Locations

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.

• Jack D Janigian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterford, MI
  • NPI 1750357083
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1417159237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "SUITE #5",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-263-4524",
            "fax_number": "586-263-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "SUITE #5",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-263-4524",
            "fax_number": "586-263-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND CHILD PODIATRIC CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "PITZER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-263-4524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350756",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen D. Pitzer D.P.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.