Active NPI
Orchard Lake Footcare Specialists, P.L.L.C.
- Foot & Ankle Surgery Podiatrist
- Orchard Lake, MI
National Provider Identifier
1649240375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C.
- Practice address
- 3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633 - Phone
- (248) 682-6662
- Fax
- (248) 682-2850
- NPI assigned
- Jan 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald Gold, D.P.M.
- Title
- Owner
- Phone
- (248) 682-6662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Mailing address
3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Phone (248) 682-6662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480F37410 | Other | MI | BCBSMI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1649240375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 ORCHARD LAKE RD",
"city": "ORCHARD LAKE",
"state": "MI",
"postal_code": "483241633",
"telephone_number": "248-682-6662",
"fax_number": "248-682-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 ORCHARD LAKE RD",
"city": "ORCHARD LAKE",
"state": "MI",
"postal_code": "483241633",
"telephone_number": "248-682-6662",
"fax_number": "248-682-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-25",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-682-6662",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI",
"identifier": "480F37410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.