Active NPI
Medical Center Foot and Ankle PC
- Podiatrist
- Livonia, MI
National Provider Identifier
1922173194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- CK000960
- 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, 2025
- 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
- Barbara Stull
- Title
- Billing Department
- Phone
- (586) 574-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1654321 | Medicaid | MI | |
| 480Q245670 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2932700 | Medicaid | MI | |
| 2932693 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Oshkosh, WI
- NPI 1770727851
-
- Podiatrist
- Hartford, CT
- NPI 1790770733
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
- Med Rehab Services, Inc.
- Christine Jean Medaugh, MD
- Medcart LTC Inc (Medcart Specialty Pharmacy)
- Medcart Specialty Care LLC (Medcart Specialty Pharmacy)
- Medcore Home Medical Equipment LLC
- Medical Group Practice, P.C.
- Medical Pain Relief Cam Center, PC
- Medical Social Work Rehabilitation Management, LLC
- Medical Wig Studio & Salon LLC
- Medical Wig Studio & Salon LLC
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.