Active NPI
Foot and Ankle Specialists of Michigan PLLC
- Podiatrist
- Berkley, MI
National Provider Identifier
1659460863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT AND ANKLE SPECIALISTS OF MICHIGAN PLLC
- Practice address
- 27901 Woodward Ave
Suite 110
Berkley, MI 48072-0919 - Phone
- (248) 545-0100
- NPI assigned
- Oct 12, 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
- Cindy Smith
- Title
- Manager
- Phone
- (586) 574-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
27901 Woodward Ave
Suite 110
Berkley, MI 48072-0919
Mailing address
27901 Woodward Ave
Suite 110
Berkley, MI 48072-0919
Phone (248) 545-0100
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK000960 | Other | MI | LICENSE |
| JF001355 | Other | MI | LICENSE |
| LH000829 | Other | MI | LICENSE |
| MS000843 | Other | MI | LICENSE |
| 5987390001 | Other | MI | DME |
| DG2153 | Other | MI | MEDICARE RAILROAD |
| 480F335300 | Other | MI | BCBS |
| 480F335300 | Other | MI | BLUECARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
29433 Ryan Rd
Warren, MI 48092
Phone (586) 574-0500
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Farmington Hills, MI
- NPI 1841299278
-
- Foot & Ankle Surgery Podiatrist
- Warren, MI
- NPI 1083103329
-
- Podiatrist
- West Bloomfield, MI
- NPI 1639250889
-
- Foot & Ankle Surgery Podiatrist
- Warren, MI
- NPI 1740544683
-
- Foot & Ankle Surgery Podiatrist
- Warren, MI
- NPI 1982606414
-
- Foot & Ankle Surgery Podiatrist
- Warren, MI
- NPI 1285981035
-
- Foot & Ankle Surgery Podiatrist
- Warren, MI
- NPI 1790880284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264982400000",
"number": "1659460863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27901 WOODWARD AVE",
"address_2": "SUITE 110",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480720919",
"telephone_number": "248-545-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27901 WOODWARD AVE",
"address_2": "SUITE 110",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480720919",
"telephone_number": "248-545-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE SPECIALISTS OF MICHIGAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2010-02-01",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "586-574-0500"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "CK000960",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "JF001355",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LH000829",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MS000843",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "5987390001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DG2153",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "480F335300",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE NETWORK",
"identifier": "480F335300",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.