Organization Active NPI

Leonard Yourofsky DPM

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1912030974
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000631 Issued in MI
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

Updated by the provider on Apr 3, 2009

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
131097470MedicaidMI
480F340660OtherMIBLUECROSS BLUESHIELD

Other names 1

  • Leonard Yourofsky DPM Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.