Active NPI
Gentle Foot Care of Western Ohio
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
National Provider Identifier
1568798908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GENTLE FOOT CARE OF WESTERN OHIO
- Practice address
- 3800 Woodward Ave
Ste 1102
Detroit, MI 48201-2061 - Phone
- (313) 833-3090
- Fax
- (313) 833-7843
- NPI assigned
- Oct 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Scott Wilson, DPM
- Title
- Podiatrist/President
- Phone
- (614) 239-0399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3800 Woodward Ave
Ste 1102
Detroit, MI 48201-2061
Mailing address
3255 E Livingston Ave
Columbus, OH 43227-1923
Phone (614) 239-0399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6216330001 | Other | MI | DMERCK |
| 1316191679 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Gentle Foot Care of Western Ohio
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatric Clinic/Center
- Detroit, MI
- NPI 1891939682
-
- Foot & Ankle Surgery Podiatrist
- Detroit, MI
- NPI 1316191679
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Detroit, MI
- NPI 1417136029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255996800000",
"number": "1568798908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432271923",
"telephone_number": "614-239-0399",
"fax_number": "614-237-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE",
"address_2": "STE 1102",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061",
"telephone_number": "313-833-3090",
"fax_number": "313-833-7843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE FOOT CARE OF WESTERN OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PODIATRIST/PRESIDENT",
"authorized_official_telephone_number": "614-239-0399",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERCK",
"identifier": "6216330001",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316191679",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Gentle Dental Gratiot Ave PLLC
- Gentle Dental Jefferson PLLC
- Gentle Dental Plymouth Road PLLC
- Gentle Dental Washington Blvd PLLC
- Gentle Feelings in Home in Care
- Gentle Foot Care of Western Ohio, Inc.
- Gentle Help Services, LLC
- Gentle Help Services, LLC
- Gentle Helping Hands Services, LLC
- Gentle Helping Hands Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.