Organization Active NPI

Nsima Usen DPM, MPH, PC

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
National Provider Identifier
1679510937
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002130 Issued in MI
Legal business name
NSIMA USEN DPM, MPH, PC
Practice address
20903 Greenfield Road
Suite 503
Southfield, MI 48075
Phone
(313) 610-0872
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Nsima Moses Usen, DPM, MPH
Title
President
Phone
(313) 610-0872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901002130 MI Primary

Addresses

Primary practice location

20903 Greenfield Road
Suite 503
Southfield, MI 48075

Mailing address

20903 Greenfield Road
Suite 503
Southfield, MI 48075
Phone (313) 610-0872

Other identifiers 1

IdentifierTypeStateIssuer
4820453MedicaidMI

Other names 1

  • Family Foot and Ankle Surgeon Doing business as

National Provider Directory

National Provider Directory

Locations

20905 Greenfield Rd
Ste 503
Southfield, MI 48075
Phone (248) 423-4220

20905 Greenfield Rd
Ste 209
Southfield, MI 48075
Phone (248) 423-4220

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1679510937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20903 GREENFIELD ROAD",
            "address_2": "SUITE 503",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "313-610-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20903 GREENFIELD ROAD",
            "address_2": "SUITE 503",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "313-610-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSIMA USEN DPM, MPH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "USEN",
        "authorized_official_first_name": "NSIMA",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-610-0872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MPH"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4820453",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Foot and Ankle Surgeon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

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

Verify at the official NPI Registry.