Active NPI
Warren Podiatry, PC
- Foot & Ankle Surgery Podiatrist
- Warren, MI
National Provider Identifier
1891914636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901000850
- Legal business name
- WARREN PODIATRY, PC
- Practice address
- 3701 E 13 Mile Rd
Warren, MI 48092-3795 - Phone
- (586) 979-1060
- Fax
- (586) 979-1714
- NPI assigned
- Apr 24, 2007
- 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
- Ann M. Spriet
- Title
- DPM
- Phone
- (586) 979-1060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901000850 | MI | Primary |
Addresses
Primary practice location
3701 E 13 Mile Rd
Warren, MI 48092-3795
Mailing address
3701 E 13 Mile Rd
Warren, MI 48092-3795
Phone (586) 979-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071108000116 | MI | Part B Supplier - Clinic/Group Practice | 4486741477 |
Receives reassigned benefits from 5 practitioners Practice locations: Warren, MI |
| O20121024000661 | MI | DME Supplier - Physician - Podiatry | 4486741477 | Practice locations: Warren, MI |
National Provider Directory
National Provider DirectoryLocations
3701 E 13 Mile Rd
Ste A
Warren, MI 48092
Phone (586) 979-1060
28711 Hoover Rd
Warren, MI 48093
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Warren, MI
- NPI 1821618208
MI, Single Specialty
-
- Podiatrist
- Lake Isabella, CA
- NPI 1659453611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575417600000",
"number": "1891914636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 E 13 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480923795",
"telephone_number": "586-979-1060",
"fax_number": "586-979-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 E 13 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480923795",
"telephone_number": "586-979-1060",
"fax_number": "586-979-1714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN PODIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2019-12-04",
"status": "A",
"authorized_official_last_name": "SPRIET",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "586-979-1060"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901000850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.