Dimitrios Panagopoulos, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002021 Issued in MI

Practice address

24025 Greater Mack Ave
Suite 101
St Clair Shores, MI 48080-1486

Phone

(313) 884-7566

Fax

(313) 884-3140

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Auburn Adult Foot Care, P C

  • Primary Podiatric Medicine Podiatrist
  • West Bloomfield, MI
  • NPI 1518093400
  NPD (past)
• James W Hill

  • Foot & Ankle Surgery Podiatrist
  • Brownstown TWP, MI
  • NPI 1962831701
  NPD (past)
• Vicki Anton Anthens DPM PC

  • Podiatrist
  • Brownstown TWP, MI
  • NPI 1508862590
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1528032786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24025 GREATER MACK AVE",
            "address_2": "SUITE 101",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801486",
            "telephone_number": "313-884-7566",
            "fax_number": "313-884-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24025 GREATER MACK AVE",
            "address_2": "SUITE 101",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801486",
            "telephone_number": "313-884-7566",
            "fax_number": "313-884-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGOPOULOS",
        "first_name": "DIMITRIOS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4476009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexxa Palazzolo, MOTRL
• Rebecca L Palen, LMSW
• Anthony Daniel Palm
• Susan Palmer
• Esmeralda Paluka, DDS
• Amrita Pandey, MD
• Lakshmi V. Pandrangi, M.D.
• Harivallabh D Pandya, M.D.
• Suchetha Pandya, PT
• Anthony Paniccia, MD

• Foot & Ankle Surgery Podiatrist in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.