Shay N Rosenfeld, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001084 Issued in MI

Practice address

5905 S Main St
Suite B
Clarkston, MI 48346-2990

Phone

(248) 625-3100

Fax

(248) 625-1855

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1497785919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 S MAIN ST",
            "address_2": "SUITE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462990",
            "telephone_number": "248-625-3100",
            "fax_number": "248-625-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 S MAIN ST",
            "address_2": "SUITE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462990",
            "telephone_number": "248-625-3100",
            "fax_number": "248-625-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "SHAY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "10084",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134228477",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4856350840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roman Franklin MD PC
• Tara Suzanne Rood, RD
• Natalie Warner Rookus
• Lisa Rosen
• Lawrence Brent Rosenberg, SLP
• Maria Elizabeth Roy, RN, BS
• Rebecca Roy
• Tiffany A Roy, MA, LLPC, NCC
• Lauren Rae Ruben, MS, LPC
• Saul M Rubenstein, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.