Podiatry Professionals of Michigan PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PODIATRY PROFESSIONALS OF MICHIGAN PLLC

Practice address

27207 Lahser Rd
Southfield, MI 48034-2168

Phone

(810) 523-5194

NPI assigned

Jul 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Antonietta Walker, MHSA

Title

Managing Partner

Phone

(810) 523-5194

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ernesto R Drelichman, MD

  • Colon & Rectal Surgery Physician
  • Southfield, MI
  • NPI 1801839899
  NPD (past)

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1699408906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342168",
            "telephone_number": "810-523-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY PROFESSIONALS OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANTONIETTA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "810-523-5194",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ploeger, DNP, FNP-BC
• Dejia Plump, LLMSW
• PMHC Cancer Center
• PMR Care Coordinators of Illinois PLLC
• PNS2,Inc.
• Carly Marie Podzikowski
• Larisa Pogorelova
• Juliana Pohl
• Sameer Pokharel
• Loretta Polish, PHD PSYCHOLOGIST

• Foot & Ankle Surgery Podiatrist in Southfield, MI
• Providers in Southfield, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.