NPIMap

Individual provider Active NPI

Tara Lynn Stock, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ferndale, MI
National Provider Identifier
1609008218
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002295 Issued in MI
Practice address
641 W 9 Mile Rd
Suite a
Ferndale, MI 48220-1779
Phone
(248) 548-7363
Fax
(248) 548-5304
NPI assigned
Aug 14, 2009
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002295 MI Primary

Addresses

Primary practice location

641 W 9 Mile Rd
Suite a
Ferndale, MI 48220-1779

Mailing address

641 W 9 Mile Rd
Suite a
Ferndale, MI 48220-1779
Phone (248) 548-7363

Other identifiers 1

IdentifierTypeStateIssuer
1609008218MedicaidMI

Other names 1

  • Tara Lynn Vanstrander Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drstockmichiganfootandanklecom@7005.nemohealthdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000569 MI Practitioner - Podiatry 9931387834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland-Milford Foot Specialists, PCGroup PAC ID 6406758739, 4 clinicians
Harvey Lefkowitz, D.P.M., P.C.Group PAC ID 0547235715, 4 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1550 N Milford Rd
203A
Milford, MI 48381-1058
Phone (248) 685-1300

215 E Commerce
Milford, MI 48381-1919
Phone (248) 685-2052

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8000

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

641 W 9 Mile Rd
Ferndale, MI 48220-1779
Phone (248) 548-7363

641 W 9 Mile Rd D
Novacare Rehabilitation
Ferndale, MI 48220-1779
Phone (248) 951-9080

641 W Nine Mile Rd
Ferndale, MI 48220-1760

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue310
Removal of skin lesions56
Removal of nail tissue905
Removal or shaving of skin growth323
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002295MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Lefkowitz, D.P.M., P.C. Podiatrist CurrentSince Jul 1, 2011 Accepting new patients
Highland-Milford Foot Specialists, PC Podiatrist CurrentSince Jul 1, 2011 Accepting new patients

Locations

641 W 9 Mile Rd
Ferndale, MI 48220
Phone (248) 399-5212

641 W 9 Mile Rd
Ste A
Ferndale, MI 48220
Phone (248) 206-1600

1550 N Milford Rd
Milford, MI 48381
Phone (248) 685-1300

1550 N Milford Rd
Ste 203A
Milford, MI 48381
Phone (248) 685-1300

Interoperability endpoints

  • Direct secure messaging: tara.stock.1@11987.direct.athenahealth.com
  • Direct secure messaging: tstock1152562@direct.hfhs.org
  • Direct secure messaging: tvanstra@direct.dmc.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1609008218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W 9 MILE RD",
            "address_2": "SUITE A",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201779",
            "telephone_number": "248-548-7363",
            "fax_number": "248-548-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 9 MILE RD",
            "address_2": "SUITE A",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201779",
            "telephone_number": "248-548-7363",
            "fax_number": "248-548-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609008218",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstockmichiganfootandanklecom@7005.nemohealthdirect.com",
            "affiliation": "N",
            "address_1": "641 W 9 Mile Rd",
            "address_2": "Suite A",
            "city": "Ferndale",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482201779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "VANSTRANDER",
            "middle_name": "LYNN",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.