Lakes Area Foot and Ankle Care, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5315007043 Issued in MI

Legal business name

LAKES AREA FOOT AND ANKLE CARE, PLLC

Practice address

620 N Pontiac TRL
Walled Lake, MI 48390-3448

Phone

(248) 425-8124

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ross Feinman, DPM

Title

Owner

Phone

(248) 425-8124

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1902159437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905355",
            "telephone_number": "248-425-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903448",
            "telephone_number": "248-425-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA FOOT AND ANKLE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "FEINMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-425-8124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5315007043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4856351900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4350339-13",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmond Pierre Kirouac
• Jasmine S Kiryakoza, FNP-C
• Danielle Alexis Knighton, LLMSW
• John Remington Krause
• Kourtney Laird
• Sabrina Lynn Lanker
• Kevin Robert Lee, D.C.
• Legacy Family Chiropractic & Wellness PLLC
• Amanda Elise Lesnick, LMSW
• Michael Lett, LPN

• Foot & Ankle Surgery Podiatrist in Walled Lake, MI
• Providers in Walled Lake, 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 Oct 22, 2012; 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.