Organization Active NPI

Feet First P C

  • Primary Podiatric Medicine Podiatrist
  • West Bloomfield, MI
National Provider Identifier
1497822712
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
FEET FIRST P C
Practice address
2300 Haggerty Rd
S-1175
West Bloomfield, MI 48323-2184
Phone
(248) 624-8338
Fax
(248) 926-9498
NPI assigned
Nov 30, 2006
Organization subpart
Yes
Parent organization
FEET FIRST PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Ellen MadyNPI 1356331441
Title
President
Phone
(248) 624-8338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

2300 Haggerty Rd
S-1175
West Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd
S-1175
West Bloomfield, MI 48323-2184
Phone (248) 624-8338

Other identifiers 2

IdentifierTypeStateIssuer
5357612OtherMIAETNA
480F318320OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040922000055 MI Part B Supplier - Clinic/Group Practice 0244208866 Receives reassigned benefits from 2 practitioners
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory
Part of
James Hill DPM

Locations

2300 Haggerty Rd
Ste 1175
West Bloomfield, MI 48323
Phone (248) 624-8338

2300 Haggerty Rd
Ste 15
West Bloomfield, MI 48323

2300 Haggerty Rd
#S1175
West Bloomfield, MI 48323
Phone (248) 624-8338

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1497822712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "S-1175",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-624-8338",
            "fax_number": "248-926-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "S-1175",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-624-8338",
            "fax_number": "248-926-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEET FIRST P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEET FIRST PC",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "MADY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-624-8338"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5357612",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480F318320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.