Washtenaw Podiatry Group, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

WASHTENAW PODIATRY GROUP, LLC

Practice address

3145 W Clark Rd
Suite 201
Ypsilanti, MI 48197-1120

Phone

(734) 572-1141

Fax

(734) 572-1142

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Mark J Klein, DPM

Title

Owner

Phone

(734) 572-1141

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1801276274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "SUITE 201",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-572-1141",
            "fax_number": "734-572-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "SUITE 201",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-572-1141",
            "fax_number": "734-572-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHTENAW PODIATRY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-572-1141",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washtenaw Dental Associates PC
• Washtenaw Dental-Adam Hassan DSS PLLC
• Washtenaw Dental, PLC
• Washtenaw General Dentistry Associates
• Washtenaw Medicine
• Horace James Watkins Jr.
• Patricia Watkins, RN
• Bradley Watson, MS, AT, ATC
• Jesika Watson, CRNA
• Marie Annette Watson

• Podiatrist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.