Community Podiatry Group, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002073 Issued in MI

Legal business name

COMMUNITY PODIATRY GROUP, P.C.

Practice address

1303 S Linden Rd Ste D
Flint, MI 48532-3442

Phone

(810) 230-0177

Fax

(810) 230-8090

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

David T Taylor, DPMNPI 1447251475

Title

Owner

Phone

(810) 230-0177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David T Taylor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
  • NPI 1447251475
  Medicare reassignment Care Compare group NPD Authorized official
• Rory Thomas Gilhooly, DPM

  • Podiatrist
  • Flint, MI
  • NPI 1568134336
  Medicare reassignment Care Compare group NPD
• Shawn Leslie Reiser, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
  • NPI 1225074271
  Medicare reassignment Care Compare group NPD
• Dean W Singer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
  • NPI 1972504918
  Medicare reassignment Care Compare group NPD
• Jesse Nyamwaro, DPM

  • Podiatrist
  • Flint, MI
  • NPI 1023859543
  NPD
• Angela M Ostroski, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ypsilanti, MI
  • NPI 1265539324
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1891725818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S LINDEN RD STE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323442",
            "telephone_number": "810-230-0177",
            "fax_number": "810-230-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S LINDEN RD STE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323442",
            "telephone_number": "810-230-0177",
            "fax_number": "810-230-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PODIATRY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-230-0177",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480B56155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Flint, MI
• Providers in Flint, 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 Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.