Family Foot Care Center PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001655 Issued in MI

Legal business name

FAMILY FOOT CARE CENTER PC

Practice address

1695 12 Mile Rd Ste 220
Berkley, MI 48072-2100

Phone

(248) 808-6012

Fax

(248) 808-6056

NPI assigned

Nov 15, 2006

Last updated

Jul 26, 2019By 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

Jeffrey Klein, DPM

Title

Physician

Phone

(586) 979-8811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Jacquelyn Clemons, LLBSW

  • Student in an Organized Health Care Education/Training Program
  • Ecorse, MI
  • NPI 1417476151
  NPD (past)
• Jacques Gerard Darmon, DPM

  • Podiatrist
  • Franklin, MI
  • NPI 1003818022
  NPD (past)
• Julie Latham Wiley

  • Adult Care Home Facility
  • Southfield, MI
  • NPI 1184109167
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1497827398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 12 MILE RD STE 220",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722100",
            "telephone_number": "248-808-6012",
            "fax_number": "248-808-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 12 MILE RD STE 220",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722100",
            "telephone_number": "248-808-6012",
            "fax_number": "248-808-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-979-8811",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133169219",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evert Health, PLLC
• Expert Mental Health PLLC
• Alison Fadoir, LMSW
• Allison Failla, LMSW
• Kristi Fairchild, RDH
• Zeinab Farhat, RDH
• Michael Lawrence Ferraro, D.O.
• Camille Flores
• FMS Beaumont Health, LLC (Fresenius Kidney Care - Berkley)
• FMS Rochester Hills, LLC (Fresenius Kidney Care Berkley)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.