Active NPI
Foot and Ankle Assoc. PLLC
- Foot & Ankle Surgery Podiatrist
- Novi, MI
National Provider Identifier
1841231891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901001597
- Legal business name
- FOOT AND ANKLE ASSOC. PLLC
- Practice address
- 44000 W 12 Mile Rd
Suite 111
Novi, MI 48377-3111 - Phone
- (248) 347-8233
- Fax
- (248) 347-8174
- NPI assigned
- Jun 9, 2006
- Last updated
- Feb 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marie Nelson, DPM
- Title
- Owner/Physician
- Phone
- (248) 347-8233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901001597 | MI | Primary |
Addresses
Primary practice location
44000 W 12 Mile Rd
Suite 111
Novi, MI 48377-3111
Mailing address
PO Box 3195
Farmington Hills, MI 48333-3195
Phone (248) 347-8233
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4480692 | Medicaid | MI | |
| 613133100 | Other | MI | DEPT OF LABOR |
| 4856354790 | Other | MI | BCBS |
| 480F303840 | Other | MI | BCBS GROUP |
National Provider Directory
National Provider DirectoryLocations
44000 W Twelve Mile Rd
Ste 1
Novi, MI 48377
Phone (248) 347-8233
44000 W Twelve Mile Rd
Ste 111
Novi, MI 48377
Phone (248) 347-8233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1841231891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3195",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483333195",
"telephone_number": "248-347-8233",
"fax_number": "248-347-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44000 W 12 MILE RD",
"address_2": "SUITE 111",
"city": "NOVI",
"state": "MI",
"postal_code": "483773111",
"telephone_number": "248-347-8233",
"fax_number": "248-347-8174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE ASSOC. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "248-347-8233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901001597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4480692",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "613133100",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4856354790",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "480F303840",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.