Dr. Kathleen Duzak DPM PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

DR. KATHLEEN DUZAK DPM PC

Practice address

1770 Woodgrove LN
Bloomfield Hills, MI 48302-2673

Phone

(734) 421-7400

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Duzak, DPM

Title

President

Phone

(734) 421-7400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• duzak family foot clinic Other name

Electronic endpoints 1

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1659512549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 WOODGROVE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022673",
            "telephone_number": "734-421-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 WOODGROVE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022673",
            "telephone_number": "734-421-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KATHLEEN DUZAK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "DUZAK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-421-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4858250820",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122782",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kathleenduzak7@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1770 Woodgrove Ln",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483022673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "duzak family foot clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Podiatric Clinic/Center in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Podiatric Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.