Organization Active NPI

Advance Family Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Canton, MI
National Provider Identifier
1629319207
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002291 Issued in MI
Legal business name
ADVANCE FAMILY FOOT & ANKLE
Practice address
8596 N Canton Center Rd
Canton, MI 48187-1310
Phone
(313) 319-9299
NPI assigned
Mar 7, 2013
Last updated
Mar 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Dr. Janet H. Baatile-Ajrouche, D.P.M.
Title
Owner
Phone
(313) 319-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002291 MI Primary

Addresses

Primary practice location

8596 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

23215 Cheltenham LN
Dearborn Heights, MI 48127-2367
Phone (313) 319-9299

Other identifiers 1

IdentifierTypeStateIssuer
1427203413MedicaidMI

National Provider Directory

National Provider Directory

Locations

2520 Packard Rd
Ypsilanti, MI 48197
Phone (734) 434-3545

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1629319207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23215 CHELTENHAM LN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272367",
            "telephone_number": "313-319-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8596 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "313-319-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE FAMILY FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "BAATILE-AJROUCHE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-319-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427203413",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

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