Organization Active NPI

Georgetown Podiatric Surgeons PC

  • Foot & Ankle Surgery Podiatrist
  • Sterling Heights, MI
National Provider Identifier
1508905985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000652 Issued in MI
Legal business name
GEORGETOWN PODIATRIC SURGEONS PC
Practice address
3058 Metropolitan Pkwy Ste 206
Sterling Heights, MI 48310-3680
Phone
(586) 977-7200
Fax
(586) 977-7291
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence A Young, DPM
Title
Owner
Phone
(586) 977-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901000652 MI Primary

Addresses

Primary practice location

3058 Metropolitan Pkwy Ste 206
Sterling Heights, MI 48310-3680

Mailing address

3058 Metropolitan Pkwy Ste 206
Sterling Heights, MI 48310-3680
Phone (586) 977-7200

National Provider Directory

National Provider Directory

Locations

3058 Metropolitan Pkwy
Ste 206
Sterling Heights, MI 48310
Phone (586) 303-6195

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508905985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PKWY STE 206",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103680",
            "telephone_number": "586-977-7200",
            "fax_number": "586-977-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PKWY STE 206",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103680",
            "telephone_number": "586-977-7200",
            "fax_number": "586-977-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN PODIATRIC SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-977-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.