Organization Active NPI

Mid-Oakland Foot Care, P,L.L.C.

  • Podiatrist
  • Clarkston, MI
National Provider Identifier
1780859603
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MID-OAKLAND FOOT CARE, P,L.L.C.
Practice address
5905 S Main St
Suite B
Clarkston, MI 48346-2990
Phone
(248) 625-3100
Fax
(248) 625-1855
NPI assigned
Apr 23, 2008
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Dr. Shay N Rosenfeld, D.P.M.NPI 1497785919
Title
Managing Partner
Phone
(248) 625-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 590100001084 MI
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5905 S Main St
Suite B
Clarkston, MI 48346-2990

Mailing address

5905 S Main St
Suite B
Clarkston, MI 48346-2990
Phone (248) 625-3100

Other identifiers 2

IdentifierTypeStateIssuer
485635084OtherMIBLUE CROSS BLUE SHIELD
13 4228477MedicaidMI

National Provider Directory

National Provider Directory

Locations

5905 S Main St
Ste 1
Clarkston, MI 48346
Phone (248) 625-3100

5905 S Main St
Ste B
Clarkston, MI 48346
Phone (248) 625-3100

6060 Dixie Hwy
Ste F
Clarkston, MI 48346
Phone (248) 246-2277

6815 Dixie Hwy
Ste 4
Clarkston, MI 48346
Phone (248) 625-3100

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1780859603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 S MAIN ST",
            "address_2": "SUITE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462990",
            "telephone_number": "248-625-3100",
            "fax_number": "248-625-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 S MAIN ST",
            "address_2": "SUITE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462990",
            "telephone_number": "248-625-3100",
            "fax_number": "248-625-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OAKLAND FOOT CARE, P,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "248-625-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "590100001084",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "485635084",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13 4228477",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.