Organization Active NPI

Advantage Foot and Ankle Specialists PLLC

  • Podiatrist
  • Ferndale, MI
National Provider Identifier
1831730985
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ADVANTAGE FOOT AND ANKLE SPECIALISTS PLLC
Practice address
3055 Hilton Rd Ste C
Ferndale, MI 48220-1096
Phone
(248) 965-2927
Fax
(248) 965-2912
NPI assigned
Sep 30, 2019
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Rachel M Gillespie, DPMNPI 1063968618
Title
Provider
Phone
(248) 965-2927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3055 Hilton Rd Ste C
Ferndale, MI 48220-1096

Mailing address

3055 Hilton Rd Ste C
Ferndale, MI 48220-1096
Phone (248) 965-2927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191203002975 MI Part B Supplier - Clinic/Group Practice 2163855263 Receives reassigned benefits from 2 practitioners
Practice locations: Ferndale, MI
O20200729004219 MI DME Supplier - Physician - Podiatry 2163855263 Practice locations: Ferndale, MI

National Provider Directory

National Provider Directory

Locations

3055 Hilton Rd
Ste 3
Ferndale, MI 48220
Phone (248) 965-2927

3055 Hilton Rd
Ste C
Ferndale, MI 48220
Phone (248) 547-2450

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": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1831730985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 HILTON RD STE C",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201096",
            "telephone_number": "248-965-2927",
            "fax_number": "248-965-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 HILTON RD STE C",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201096",
            "telephone_number": "248-965-2927",
            "fax_number": "248-965-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE FOOT AND ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "248-965-2927",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.