NPIMap

Organization Active NPI

Eric S Mendelsohn DPM PC

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1457563926
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
EM000833 Issued in MI
Legal business name
ERIC S MENDELSOHN DPM PC
Practice address
21500 Northwestern Hwy
Northland Center, Suite 636
Southfield, MI 48075-5018
Phone
(248) 569-1395
Fax
(248) 623-1697
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Eric Steven Mendelsohn, DPM
Title
Owner
Phone
(248) 569-1395

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X EM000833 MI Primary
Durable Medical Equipment & Medical Supplies 332B00000X EM000833 MI

Addresses

Primary practice location

21500 Northwestern Hwy
Northland Center, Suite 636
Southfield, MI 48075-5018

Mailing address

21500 Northwestern Hwy
Northland Center, Suite 636
Southfield, MI 48075-5018
Phone (248) 569-1395

National Provider Directory

National Provider Directory

Locations

21500 Northwestern Hwy
Ste 636
Southfield, MI 48075
Phone (248) 569-1395

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1457563926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 NORTHWESTERN HWY",
            "address_2": "NORTHLAND CENTER, SUITE 636",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755018",
            "telephone_number": "248-569-1395",
            "fax_number": "248-623-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 NORTHWESTERN HWY",
            "address_2": "NORTHLAND CENTER, SUITE 636",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755018",
            "telephone_number": "248-569-1395",
            "fax_number": "248-623-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S MENDELSOHN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MENDELSOHN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-569-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "EM000833",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "EM000833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.