Tender Foot & Ankle Care PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

5901002345 Issued in MI

Legal business name

TENDER FOOT & ANKLE CARE PLLC

Practice address

48467 Van Dyke Ave
Shelby TWP, MI 48317-3282

Phone

(586) 298-1585

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Carollo, DPMNPI 1245404227

Title

Owner

Phone

(586) 298-1585

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Carollo, DPM

  • Podiatrist
  • Shelby Township, MI
  • NPI 1245404227
  Medicare reassignment NPD Authorized official
• Trina Mary Russo, DPM

  • Podiatrist
  • Eastpointe, MI
  • NPI 1174500862
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1699076455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48467 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483173282",
            "telephone_number": "586-298-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48467 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483173282",
            "telephone_number": "586-298-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER FOOT & ANKLE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "CAROLLO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-298-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901002345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NO.",
            "identifier": "0F36404028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priyanka Suryavanshi, RPT
• Fareed Tareen, DDS
• Mariah Stacii Taylor
• Jasilyn Teasley
• Daniela Palici Teletin, PHARMD
• Thera-Med Plus LLC
• Thomas M Fredal DDS, PC
• Amanda A Thomas
• Leticia Thomason
• Kristine Tillman

• Podiatric Clinic/Center in Shelby TWP, MI
• Providers in Shelby TWP, 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 Apr 4, 2016; 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.

Verify at the official NPI Registry.