Douglas Anthony Cutcher, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

591001452 Issued in MI

Practice address

26029 5 Mile Rd
Redford, MI 48239-3235

Phone

(313) 255-7900

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Prime Care PLLC

  • Internal Medicine Physician
  • Canton, MI
  • NPI 1104542828
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1780763714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26029 5 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393235",
            "telephone_number": "313-255-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26029 5 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393235",
            "telephone_number": "313-255-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTCHER",
        "first_name": "DOUGLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "591001452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEC SUPPLIER ID",
            "identifier": "5540710001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4216879",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "4858256020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINSTAR FEDERAL ID",
            "identifier": "B08003432",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DME",
            "identifier": "540H228370",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS ID",
            "identifier": "480008804",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly S Cromarty, D.C.
• Crown Specialty Pharmacy LLC
• Tanisha Lanai Crump
• Bridget Cuneo, PA
• Diane M Curry
• Jennifer Cyplik
• Paul Czarnecki, PHARMD
• Hassan Mahmoud Dabajeh, DPT
• Zeinab M Dabajeh
• Michelle M Dalton, FNP-BC

• Foot Surgery Podiatrist in Redford, MI
• Providers in Redford, 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 Sep 8, 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.