Mobile Podiatry Services, PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

5901001714 Issued in MI

Legal business name

MOBILE PODIATRY SERVICES, PC

Practice address

12786 Lasalle LN
Huntington Woods, MI 48070-1020

Phone

(773) 263-8540

Fax

(773) 866-1733

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas D Paholak, DPMNPI 1710934955

Title

President

Phone

(773) 263-8540

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, and the practitioner matching its NPPES authorized official.

• Thomas Daniel Paholak, DPM

  • Podiatrist
  • Huntington Woods, MI
  • NPI 1710934955

  Foot Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1720442056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12786 LASALLE LN",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701020",
            "telephone_number": "773-263-8540",
            "fax_number": "773-866-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12786 LASALLE LN",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701020",
            "telephone_number": "773-263-8540",
            "fax_number": "773-866-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "PAHOLAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-263-8540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901001714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Lucas Medow, M.D.
• Julie Melissa Messina, LLMSW
• Metro Detroit Care Partners
• Michael D Ryan DDS PC
• Sue Marie Michonski, PT
• Momentum Spine & Sports MGMT
• Moonseed LLC (Stephanie Morgan-Sterenberg, LMSW, Clinical)
• Alyssia Moore, PA
• Stephanie Morgan-Sterenberg, LMSW, CLINICAL
• Sarah Mountain, PHD, LLMSW

• Foot Surgery Podiatrist in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Foot Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.