Organization Active NPI

Medical Center Foot and Ankle PC

  • Podiatrist
  • Livonia, MI
National Provider Identifier
1922173194
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
CK000960 Issued in MI
Legal business name
MEDICAL CENTER FOOT AND ANKLE PC
Practice address
39000 7 Mile Rd Ste 2100
Livonia, MI 48152-1006
Phone
(734) 485-0060
NPI assigned
Nov 22, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Barbara Stull
Title
Billing Department
Phone
(586) 574-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X CK000960 MI Primary

Addresses

Primary practice location

39000 7 Mile Rd Ste 2100
Livonia, MI 48152-1006

Mailing address

39000 7 Mile Rd Ste 2100
Livonia, MI 48152-1006
Phone (734) 485-0060

Other identifiers 4

IdentifierTypeStateIssuer
1654321MedicaidMI
480Q245670OtherMIBLUE CROSS BLUE SHIELD
2932700MedicaidMI
2932693MedicaidMI

National Provider Directory

National Provider Directory

Locations

10986 Middlebelt Rd
Livonia, MI 48150
Phone (734) 261-3400

15873 Middlebelt Rd
Livonia, MI 48154

15873 Middlebelt Rd
Ste 400
Livonia, MI 48154
Phone (734) 425-0060

39000 7 Mile Rd
Ste 2100
Livonia, MI 48152
Phone (734) 425-0060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1922173194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 7 MILE RD STE 2100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521006",
            "telephone_number": "734-485-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 7 MILE RD STE 2100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521006",
            "telephone_number": "734-485-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "586-574-0500"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "CK000960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1654321",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480Q245670",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2932700",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2932693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.