Physician and Feet Specialist, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301406556 Issued in MI

Legal business name

PHYSICIAN AND FEET SPECIALIST, PLLC

Practice address

10101 Fenkell St
Suite B
Detroit, MI 48238-1645

Phone

(313) 834-4407

NPI assigned

Aug 3, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Whiteus, M.D.

Title

Owner

Phone

(313) 834-4407

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph N Hagen, DO

  • Internal Medicine Physician
  • Bingham Farms, MI
  • NPI 1811989650
  NPD (past)
• Mikhail Muhammad, DPT

  • Physical Therapist
  • Lathrup Village, MI
  • NPI 1689715211
  NPD (past)
• Geoffrey K Sagala, D.C.

  • Rehabilitation Chiropractor
  • Oak Park, MI
  • NPI 1013038629
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1598996902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760127",
            "address_2": "SUITE B",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480760127",
            "telephone_number": "313-834-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FENKELL ST",
            "address_2": "SUITE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381645",
            "telephone_number": "313-834-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN AND FEET SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "WHITEUS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-834-4407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phri of Michigan, LLC
• Phri of Michigan, LLC
• Phri of Michigan, LLC
• Suwannee Phumeetham, M.D.
• Physical Therapy Team PC
• Physicians Dialysis Acquisitions Inc (English Village Dialysis)
• Physicians Pharmacy & Medical Supply LLC (Pharmor Pharmacy-Physicians)
• Physio Matrix Inc.
• Physiolab Physical Therapy and Recovery LLC
• Valerie Pianga

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

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