Premier Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PREMIER PODIATRY PLLC

Practice address

24327 Ford Rd Ste 1
Dearborn, MI 48128-1129

Phone

(313) 525-4252

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reda Al-Shaer

Title

Representative

Phone

(313) 359-0500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Fadi Zouhair Jaafar, D.P.M.

  • Podiatrist
  • Alma, MI
  • NPI 1679837504

  Foot & Ankle Surgery

  NPD

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1932642170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24327 FORD RD STE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24327 FORD RD STE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281129",
            "telephone_number": "313-525-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "AL-SHAER",
        "authorized_official_first_name": "REDA",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "313-359-0500"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier DME
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• Premier Hematology & Oncology PLLC
• Premier Home Pharmacy of Mi
• Premier Physical Therapy, P.C.
• Premiere Home Health, LLC
• Premium Pharmacy LLC
• Bethany Preston
• Danny L Preston, CSA
• Giselle Preston

• Foot & Ankle Surgery Podiatrist in Dearborn, MI
• Providers in Dearborn, 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 Nov 21, 2016; 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.