Active NPI
Eric Steven Mendelsohn, DPM
- Podiatrist
- Oak Park, MI
National Provider Identifier
1649395237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- EM000833
- Practice address
- 26106 Greenfield Rd Ste a
Oak Park, MI 48237-1063 - Phone
- (248) 569-1395
- Fax
- (248) 569-1330
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | EM000833 | MI | |
| Podiatrist | 213E00000X | EM000833 | MI | Primary |
Addresses
Primary practice location
26106 Greenfield Rd Ste a
Oak Park, MI 48237-1063
Mailing address
26106 Greenfield Rd Ste a
Oak Park, MI 48237-1063
Phone (248) 569-1395
Other practice location 1
42370 Van Dyke Ave Ste 104
Sterling Heights, MI 48314-3487
Phone (586) 254-2211
Other practice location 2
3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Phone (248) 569-1395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131388833 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EM000833 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D S Lazar DPM PC | Podiatrist | Current | Accepting new patients |
| Dr Gerard J Skrocki DPM | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Locations
26106 Greenfield Rd
Ste A
Oak Park, MI 48237
Phone (248) 569-1395
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 and National Provider Directory roles.
-
- Podiatrist
- Oak Park, MI
- NPI 1306077086
-
- Durable Medical Equipment & Medical Supplies
- Sterling Heights, MI
- NPI 1740455484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649395237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26106 GREENFIELD RD STE A",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371063",
"telephone_number": "248-569-1395",
"fax_number": "248-569-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26106 GREENFIELD RD STE A",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371063",
"telephone_number": "248-569-1395",
"fax_number": "248-569-1330"
}
],
"practiceLocations": [
{
"address_1": "42370 Van Dyke Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483143487",
"country_code": "US",
"telephone_number": "586-254-2211",
"fax_number": "248-569-1330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3206 Orchard Lake Rd",
"address_purpose": "LOCATION",
"city": "Orchard Lake",
"state": "MI",
"postal_code": "483241633",
"country_code": "US",
"telephone_number": "248-569-1395",
"fax_number": "248-569-1330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDELSOHN",
"first_name": "ERIC",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "EM000833",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "EM000833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131388833",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.