Organization Active NPI

Foot and Ankle Assoc. PLLC

  • Foot & Ankle Surgery Podiatrist
  • Novi, MI
National Provider Identifier
1841231891
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001597 Issued in MI
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4480692MedicaidMI
613133100OtherMIDEPT OF LABOR
4856354790OtherMIBCBS
480F303840OtherMIBCBS GROUP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.