Premier Foot & Ankle, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PREMIER FOOT & ANKLE, PLLC

Doing business as

Premier Foot & Ankle Grosse Point

Practice address

18010 Mack Ave
Grosse Pointe, MI 48230-6235

Phone

(313) 882-7480

Fax

(313) 882-7525

NPI assigned

Aug 1, 2022

Organization subpart

Yes

Parent organization

PREMIER FOOT & ANKLE GROSSE POINTAs reported in NPPES

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

Authorized official

Name

Kimberly Blahofski

Title

Manager

Phone

(586) 948-9417

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Foot & Ankle Grosse Point Doing business as

Tax ID family

Premier Foot Ankle PLLC3 organizations share this tax ID, including this one

Part of

Premier Foot Ankle PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Rochester Hills, MI
  • NPI 1316594765
  NPD tax ID
• Premier Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Macomb, MI
  • NPI 1851846257
  NPD tax ID

Locations

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1851027866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 23 MILE RD STE 204",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441161",
            "telephone_number": "586-948-9417",
            "fax_number": "586-846-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306235",
            "telephone_number": "313-882-7480",
            "fax_number": "313-882-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT & ANKLE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER FOOT & ANKLE GROSSE POINT",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "BLAHOFSKI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-948-9417"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851846257",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Foot & Ankle Grosse Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Anne Plizga, D.O.
• Pointe Fisher Dental
• Pointe Integrative
• Jaime Edward Porrazzo, AGACNP-BC
• Kathryn A Powell, CRNA
• Meredith Lindsay Price, M.D.
• Mariya Priymak, PA-C
• Piotr Z Purzycki, PA-C
• Laura A Pytiak, CRNA
• Radiant Health Resources

• Foot & Ankle Surgery Podiatrist in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.