Organization Active NPI

Howard Peschke DPM PC

  • Podiatrist
  • Southgate, MI
National Provider Identifier
1568578540
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400131 Issued in MI
Legal business name
HOWARD PESCHKE DPM PC
Practice address
13308 Edison St
Southgate, MI 48195-1076
Phone
(734) 282-4300
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Howard Peschke, DPM
Title
Physician
Phone
(734) 282-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901400131 MI Primary

Addresses

Primary practice location

13308 Edison St
Southgate, MI 48195-1076

Mailing address

13308 Edison St
Southgate, MI 48195-1076
Phone (734) 282-4300

Other identifiers 1

IdentifierTypeStateIssuer
4384847MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1568578540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 EDISON ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951076",
            "telephone_number": "734-282-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13308 EDISON ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951076",
            "telephone_number": "734-282-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD PESCHKE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "PESCHKE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-282-4300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4384847",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.