Great Lakes Foot Care P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901001138 Issued in MI

Legal business name

GREAT LAKES FOOT CARE P.C.

Practice address

1701 Baldwin Ave
B
Pontiac, MI 48340-3412

Phone

(248) 338-3668

Fax

(248) 338-0136

NPI assigned

Feb 7, 2012

Last updated

Mar 21, 2012By 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

Dr. Steven Binder, DPMNPI 1053496554

Title

President

Phone

(248) 338-3668

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Steven R Binder, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pontiac, MI
  • NPI 1053496554
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1528330420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BALDWIN AVE",
            "address_2": "B",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483403412",
            "telephone_number": "248-338-3668",
            "fax_number": "248-338-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BALDWIN AVE",
            "address_2": "B",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483403412",
            "telephone_number": "248-338-3668",
            "fax_number": "248-338-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES FOOT CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-338-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1536220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5630125",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Grandberry
• Kathryn Grappin, LMSW
• Jasmin Graves
• Lonie Gray, CAC
• Great Care Home Care
• Great Lakes Radiology PLLC
• Greater Lakes Transportation
• Christine Greb, LLP
• Austin Green
• Brooke Green

• Foot & Ankle Surgery Podiatrist in Pontiac, MI
• Providers in Pontiac, 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 Mar 21, 2012; 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.