Organization Active NPI

Bazzi Foot & Ankle D.P.M P.C

  • Foot & Ankle Surgery Podiatrist
  • Dearborn, MI
National Provider Identifier
1720424484
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002374 Issued in MI
Legal business name
BAZZI FOOT & ANKLE D.P.M P.C
Practice address
7548 Williamson St
Dearborn, MI 48126-1495
Phone
(313) 772-0805
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Mohammed Bazzi, M.D
Title
Owner
Phone
(313) 772-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901002374 MI Primary

Addresses

Primary practice location

7548 Williamson St
Dearborn, MI 48126-1495

Mailing address

7548 Williamson St
Dearborn, MI 48126-1495
Phone (313) 772-0805

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1720424484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7548 WILLIAMSON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261495",
            "telephone_number": "313-772-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7548 WILLIAMSON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261495",
            "telephone_number": "313-772-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZZI FOOT & ANKLE D.P.M P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-772-0805",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.