Pardee Foot Clinic

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

5901001481 Issued in MI

Legal business name

PARDEE FOOT CLINIC

Practice address

9029 Pardee Rd
Taylor, MI 48180-2755

Phone

(734) 284-7600

NPI assigned

Oct 28, 2015

Last updated

Oct 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Bens, D.P.M.NPI 1669562815

Title

Owner

Phone

(734) 284-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore Bens, DPM

  • Podiatrist
  • Taylor, MI
  • NPI 1669562815
  Authorized official Same address or phone

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1871965954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 PARDEE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802755",
            "telephone_number": "734-284-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 PARDEE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802755",
            "telephone_number": "734-284-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARDEE FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "BENS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-284-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901001481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2649282",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Nicolena Palazzolo
• Patricia Ann Palmer, LPC
• Stefan Nicholas Papandreou, DO
• Par Wick Pharmacy LLC
• Paramount Performance (Hatch Doula Service) (Hatch Doula Service)
• Park Behavioral Health
• Park Nursing Center of Taylor, LLC (Regency Health Care Centre)
• Park Place Family Practice & Internal Medicine
• Lawsen Parker, DO
• John Tyler Parmer, OD

• Podiatric Clinic/Center in Taylor, MI
• Providers in Taylor, MI by specialty
• Podiatric Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.