Michigan Foot & Ankle Institute PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

EK001446 Issued in MI

Legal business name

MICHIGAN FOOT & ANKLE INSTITUTE PC

Practice address

44250 Garfield Rd
Suite 160
Clinton Township, MI 48038-7421

Phone

(586) 228-2255

Fax

(586) 228-2740

NPI assigned

Jul 11, 2006

Last updated

May 13, 2015By 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. Edmund Joseph Kowalchick Jr., DPMNPI 1326043316

Title

President

Phone

(586) 228-2255

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Edmund Joseph Kowalchick Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
  • NPI 1326043316
  Medicare reassignment Care Compare group NPD Authorized official
• Abbas Baghdadi, DPM

  • Foot Surgery Podiatrist
  • Clinton Township, MI
  • NPI 1376122176
  Medicare reassignment Care Compare group NPD
• Stacey Lynne Miller, DPM

  • Podiatrist
  • Clinton Township, MI
  • NPI 1710982434
  Medicare reassignment Care Compare group NPD
• Brian George Loder, DPM, CWS

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
  • NPI 1184629180
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1427083492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD",
            "address_2": "SUITE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387421",
            "telephone_number": "586-228-2255",
            "fax_number": "586-228-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD",
            "address_2": "SUITE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387421",
            "telephone_number": "586-228-2255",
            "fax_number": "586-228-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN FOOT & ANKLE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "KOWALCHICK",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-228-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "EK001446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0E015510",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "123659200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB9371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Miazek
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• Podiatrist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.