Pupp and Associates Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PUPP AND ASSOCIATES PODIATRY PLLC

Practice address

27207 Lahser Rd Ste 250a
Southfield, MI 48034-8471

Phone

(248) 424-8637

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Antonietta Walker

Title

Managing Partner

Phone

(810) 523-5194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1871222992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68490 MEADOWOOD CT",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480951395",
            "telephone_number": "810-523-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD STE 250A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348471",
            "telephone_number": "248-424-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUPP AND ASSOCIATES PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANTONIETTA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "810-523-5194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulmonary and Internal Medicine Specialists, P.C.
• Pulmonary, Internal and Emergency Medicine and Radiology Asso
• Pulsar Medical Associates PC
• Pulsemed Equipment and Supplies Inc
• Subin Punnen, MD
• Guy Richard Pupp, DPM
• Sarah M Purcell, MS, RDS, IBCLC
• Pure Health of Michigan
• Pure Performance Orthopedics & Sports Medicine
• Pure Psychiatry of Michigan PLLC

• Foot & Ankle Surgery Podiatrist in Southfield, MI
• Providers in Southfield, 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 Jul 11, 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.