Podiatry Home Care PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002467 Issued in MI

Legal business name

PODIATRY HOME CARE PLLC

Practice address

4774 Grandwoods Dr
Lansing, MI 48917-1330

Phone

(517) 721-1298

Fax

(517) 721-1829

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Rose Elzinga, DPMNPI 1760617518

Title

President

Phone

(517) 721-1298

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Rebecca Rose Elzinga, DPM

  • Podiatrist
  • Lansing, MI
  • NPI 1760617518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1467825646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 GRANDWOODS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171330",
            "telephone_number": "517-721-1298",
            "fax_number": "517-721-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 GRANDWOODS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171330",
            "telephone_number": "517-721-1298",
            "fax_number": "517-721-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2406 Bedford Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489111699",
            "country_code": "US",
            "telephone_number": "517-721-1298",
            "fax_number": "517-721-1829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2406 Bedford Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489111699",
            "country_code": "US",
            "telephone_number": "517-721-1298",
            "fax_number": "517-721-1829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PODIATRY HOME CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ELZINGA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-721-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Pline, PHARMD
• Mara Pline, PHARM.D.
• Ashley Marie Plunkey, AGACNP
• Alexa Brooke Pluta, RVT
• Elsie Diane Plyler, MD
• Podiatry Plus PC
• Anna Marie Pogoncheff, DDS
• Carl M Pogoncheff, DDS
• John Metodi Pogoncheff, DDS
• Metodi C Pogoncheff, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.