Active NPI
Leonard Yourofsky DPM
- Podiatrist
- Southfield, MI
National Provider Identifier
1912030974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901000631
- Legal business name
- LEONARD YOUROFSKY DPM
- Practice address
- 25811 W 12 Mile Rd
Ste 205
Southfield, MI 48034-1896 - Phone
- (248) 262-3443
- Fax
- (248) 262-3444
- NPI assigned
- Mar 13, 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
- Mr. Leonard Yourofsky, DPM
- Title
- Owner
- Phone
- (248) 262-3444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901000631 | MI | Primary |
Addresses
Primary practice location
25811 W 12 Mile Rd
Ste 205
Southfield, MI 48034-1896
Mailing address
25811 W 12 Mile Rd
Ste 205
Southfield, MI 48034-1896
Phone (248) 262-3443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131097470 | Medicaid | MI | |
| 480F340660 | Other | MI | BLUECROSS BLUESHIELD |
Other names 1
- Leonard Yourofsky DPM
National Provider Directory
National Provider DirectoryLocations
25811 W 12 Mile Rd
Ste 205
Southfield, MI 48034
Phone (248) 262-3444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238716800000",
"number": "1912030974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25811 W 12 MILE RD",
"address_2": "STE 205",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341896",
"telephone_number": "248-262-3443",
"fax_number": "248-262-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25811 W 12 MILE RD",
"address_2": "STE 205",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341896",
"telephone_number": "248-262-3443",
"fax_number": "248-262-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD YOUROFSKY DPM",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2009-04-03",
"status": "A",
"authorized_official_last_name": "YOUROFSKY",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-262-3444",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901000631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131097470",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "480F340660",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Leonard Yourofsky DPM",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.