Organization Active NPI

Andrea R Rinker DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Monroe, MI
National Provider Identifier
1497930929
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000949 Issued in MI
Legal business name
ANDREA R RINKER DPM PC
Practice address
721 N Macomb St
Suite 5
Monroe, MI 48162-2982
Phone
(734) 241-1222
Fax
(734) 241-6825
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Andrea R Rinker, DPMNPI 1285796292
Title
Owner
Phone
(734) 241-1222

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901000949 MI Primary

Addresses

Primary practice location

721 N Macomb St
Suite 5
Monroe, MI 48162-2982

Mailing address

721 N Macomb St
Suite 5
Monroe, MI 48162-2982
Phone (734) 241-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930099977 MI DME Supplier - Physician - Podiatry 5799804076 Practice locations: Monroe, MI
O20110128000897 MI Part B Supplier - Clinic/Group Practice 5799804076 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1497930929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N MACOMB ST",
            "address_2": "SUITE 5",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622982",
            "telephone_number": "734-241-1222",
            "fax_number": "734-241-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N MACOMB ST",
            "address_2": "SUITE 5",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622982",
            "telephone_number": "734-241-1222",
            "fax_number": "734-241-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA R RINKER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "RINKER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-241-1222",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.