Organization Active NPI

Partners in Foot Health P.C.

  • Foot & Ankle Surgery Podiatrist
  • Lincoln Park, MI
National Provider Identifier
1629168885
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
CO001358 Issued in MI
Legal business name
PARTNERS IN FOOT HEALTH P.C.
Practice address
3976 Dix Hwy
Lincoln Park, MI 48146-3940
Phone
(313) 386-5750
Fax
(313) 386-0579
NPI assigned
Oct 16, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Chris Michael Olenech, DPMNPI 1225032196
Title
Owner/Doctor
Phone
(313) 386-5750

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X CO001358 MI Primary

Addresses

Primary practice location

3976 Dix Hwy
Lincoln Park, MI 48146-3940

Mailing address

3976 Dix Hwy
Lincoln Park, MI 48146-3940
Phone (313) 386-5750

Other identifiers 12

IdentifierTypeStateIssuer
4034087OtherMIAETNA
4858251900OtherMIBCBSM
480009053OtherMIMEDICARE RAILROAD
480H219870OtherMABLUE CARE NETWORK
125159OtherMACARE CHOICES
2733214MedicaidMI
480029417OtherMIMEDICARE RAILROAD
5656449OtherMIAETNA
000000003439OtherMICAPE HEALTH PLAN
107182OtherMACARE CHOICES
4858251630OtherMDBCBSM
3313528MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061117000392 MI Part B Supplier - Clinic/Group Practice 4981602331 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln Park, MI
O20100930062257 MI DME Supplier - Physician - Podiatry 4981602331 Practice locations: Lincoln Park, MI

National Provider Directory

National Provider Directory

Locations

3976 Dix Hwy
Lincoln Park, MI 48146
Phone (313) 386-5750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1629168885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463940",
            "telephone_number": "313-386-5750",
            "fax_number": "313-386-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463940",
            "telephone_number": "313-386-5750",
            "fax_number": "313-386-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN FOOT HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "OLENECH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "313-386-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "CO001358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4034087",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4858251900",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480009053",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "480H219870",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "125159",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2733214",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480029417",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5656449",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "000000003439",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "107182",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4858251630",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3313528",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.