Ryan Foot Clinic, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

RYAN FOOT CLINIC, PC

Doing business as

ryan foot and ankle clinic, PC

Practice address

25511 Van Dyke Ave
Center Line, MI 48015-1834

Phone

(586) 758-5770

Fax

(586) 758-6134

NPI assigned

Apr 9, 2007

Last updated

May 6, 2008By 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. Lawrence Stephen Brown, DPMNPI 1841327178

Title

Owner President

Phone

(586) 758-5770

Specialties & licenses 1

Addresses

Other names 1

• ryan foot and ankle clinic, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

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.

• Lawrence Stephen Brown, DPM

  • Podiatrist
  • Center Line, MI
  • NPI 1841327178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1730202482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151834",
            "telephone_number": "586-758-5770",
            "fax_number": "586-758-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151834",
            "telephone_number": "586-758-5770",
            "fax_number": "586-758-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN FOOT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "586-758-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ryan foot and ankle clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Robinson
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• Lauren Rush, D.D.S
• Houston Sanderfield
• Sanity Home Health Care Inc
• Khadisha Saunders-Davenport, MA, LLPC, CAADC, CAS
• Melissa Diane Scheck, MPT
• Cindy Lou Schell, BS

• Podiatrist in Center Line, MI
• Providers in Center Line, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.