Philip H Kresch DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PK001046 Issued in MI

Legal business name

PHILIP H KRESCH DPM PC

Practice address

26031 W Warren St
Dearborn Heights, MI 48127-4716

Phone

(313) 563-0660

Fax

(313) 563-0002

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip H Kresch, DPM

Title

President

Phone

(313) 563-0660

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Richard Alan Burke, DC

  • Chiropractor
  • Dearborn Heights, MI
  • NPI 1881671964
  NPD (past)
• Ryan Burke, D.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1053798124
  NPD (past)
• Anthony Udo-Inyang, MD

  • Obstetrics & Gynecology Physician
  • Taylor, MI
  • NPI 1285609826
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1720202344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26031 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274716",
            "telephone_number": "313-563-0660",
            "fax_number": "313-563-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26031 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274716",
            "telephone_number": "313-563-0660",
            "fax_number": "313-563-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP H KRESCH DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-563-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "PK001046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "0Q27629",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140584-13",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Renee Peterson
• Donald George Pethtel, D.C.
• Renee Irene Pethtel, D.C.
• Marie C Petricca, MSW ACSW CACI LMSW
• Pharmaceutical Medical Consulting PLLC
• Phlebs Mobile Phlebotomy Services LLC
• Phoenix Medical Equipment Inc
• Physicians for Seniors PLLC
• Physio-Dynamics, LLC
• Sheila Marie Pierce, OTR

• Podiatrist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.