NPIMap

Organization Active NPI

Mark J Klein, DPM, PC

  • Primary Podiatric Medicine Podiatrist
  • Ypsilanti, MI
National Provider Identifier
1548397136
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
MK001213 Issued in MI
Legal business name
MARK J KLEIN, DPM, PC
Practice address
3145 W Clark Rd
Suite 201
Ypsilanti, MI 48197-1120
Phone
(734) 572-1141
Fax
(734) 572-1142
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Dr. Mark Jeffery Klein, DPM
Title
Owner
Phone
(734) 572-1141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X MK001213 MI Primary

Addresses

Primary practice location

3145 W Clark Rd
Suite 201
Ypsilanti, MI 48197-1120

Mailing address

3145 W Clark Rd
Suite 201
Ypsilanti, MI 48197-1120
Phone (734) 572-1141

Other identifiers 1

IdentifierTypeStateIssuer
3247638MedicaidMI

National Provider Directory

National Provider Directory

Locations

2301 S Huron Pkwy
Ste 1D
Ann Arbor, MI 48104
Phone (586) 229-7812

Practitioners & affiliated clinicians

Practitioners 5

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1548397136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "SUITE 201",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-572-1141",
            "fax_number": "734-572-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "SUITE 201",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-572-1141",
            "fax_number": "734-572-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J KLEIN, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-572-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "MK001213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3247638",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.