Shelby Foot & Ankle PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

RM002147 Issued in MI

Legal business name

SHELBY FOOT & ANKLE PLLC

Practice address

4091 W Vienna Rd
Clio, MI 48420-9437

Phone

(810) 687-7350

Fax

(810) 687-7360

NPI assigned

Nov 15, 2013

Organization subpart

No

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

Authorized official

Name

Ronald Martin, DPM

Title

Owner

Phone

(586) 580-3729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1578993358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 230",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-580-3728",
            "fax_number": "586-580-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209437",
            "telephone_number": "810-687-7350",
            "fax_number": "810-687-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-580-3729",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "RM002147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley J Schwartz, RPH
• Debora Jo Searyrissin
• Jason J Sefa, DC
• Serenity Assisted Living
• Nermine Nader Shehata, DMD
• Jennifer Suzanne Shivnen, PA-C
• Lorraine A Shulman, MSW
• Silver Fern Therapy PLLC
• Abbie Lee Sims, FNP-C
• Siva Sankaran MD PC

• Foot & Ankle Surgery Podiatrist in Clio, MI
• Providers in Clio, 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 Nov 15, 2013; 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.