Thomas Dekorte

Primary specialty

PodiatristTaxonomy code 213E00000X

License

TD001078 Issued in MI

Legal business name

THOMAS DEKORTE

Practice address

1404 Bridge St
Charlevoix, MI 49720-2603

Phone

(231) 547-4662

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Thomas B Dekorte, DPM

Title

President

Phone

(231) 547-4662

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Charlevoix Foot Clinic Doing business as

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1548445331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 WOODSIDE TRL NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042580",
            "telephone_number": "616-453-1835",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BRIDGE ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497202603",
            "telephone_number": "231-547-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DEKORTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "DEKORTE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-547-4662",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "TD001078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4851550000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441583",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlevoix Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Marie Strehl, RDH
• Angela June Sutton, RDH
• Gary D. Sweet
• Jennifer Jean Swenor, OTR/L
• Thalia Ferenc LLC
• Roderic E Tinney, M.D.
• Brendan Cedar Toton, MSW
• Tova Rogers MD Mfa PLLC
• Jilaine Towne-Patton, LPC
• Adam John Tsaloff

• Podiatrist in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.