Active NPI
Steven J. Repitor
- Podiatrist
- Sterling Heights, MI
National Provider Identifier
1861993685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- STEVEN J. REPITOR
- Practice address
- 8244 Metro Pkwy # C
Sterling Heights, MI 48312-2778 - Phone
- (586) 795-4060
- NPI assigned
- Feb 27, 2018
- 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
- Kellie Swartz
- Title
- Ceo
- Phone
- (989) 791-2455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
8244 Metro Pkwy # C
Sterling Heights, MI 48312-2778
Mailing address
3785 Bay Rd
Saginaw, MI 48603-2433
Phone (989) 791-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194760835 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519689600000",
"number": "1861993685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032433",
"telephone_number": "989-791-2455",
"fax_number": "989-791-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8244 METRO PKWY # C",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483122778",
"telephone_number": "586-795-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN J. REPITOR",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A",
"authorized_official_last_name": "SWARTZ",
"authorized_official_first_name": "KELLIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "989-791-2455"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194760835",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.