NPIMap

Organization Active NPI

Fhpim, PLC

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1629007422
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FHPIM, PLC
Practice address
29425 Northwestern Hwy Ste 125
Southfield, MI 48034-1083
Phone
(248) 557-6500
Fax
(248) 557-2781
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Dr. Tara Long Scott, D.P.M.NPI 1972535862
Title
Owner
Phone
(248) 557-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

29425 Northwestern Hwy Ste 125
Southfield, MI 48034-1083

Mailing address

29425 Northwestern Hwy Ste 125
Southfield, MI 48034-1083
Phone (248) 557-6500

Other identifiers 2

IdentifierTypeStateIssuer
480F328920OtherMIBLUE CROSS
4842666MedicaidMI

Other names 1

  • Foot and Heel Pain Institute of Michigan, PLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000449 MI Part B Supplier - Clinic/Group Practice 9739102252 Receives reassigned benefits from 4 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

29425 Northwestern Hwy
Southfield, MI 48034
Phone (248) 327-7409

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1629007422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341083",
            "telephone_number": "248-557-6500",
            "fax_number": "248-557-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341083",
            "telephone_number": "248-557-6500",
            "fax_number": "248-557-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHPIM, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-557-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "480F328920",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4842666",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Heel Pain Institute of Michigan, PLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot and Heel Pain Institute of Michigan, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.