Organization Active NPI

Michigan Foot Surgeons, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Detroit, MI
National Provider Identifier
1942491857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
FL000635 Issued in MI
Legal business name
MICHIGAN FOOT SURGEONS, P.C.
Practice address
12720 W 7 Mile Rd
Detroit, MI 48235-1301
Phone
(313) 863-6888
Fax
(313) 863-1687
NPI assigned
Aug 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marnie Louise Harris
Title
Office Manager
Phone
(248) 355-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X RL002077 MI
Foot & Ankle Surgery Podiatrist 213ES0103X FL000635 MI Primary

Addresses

Primary practice location

12720 W 7 Mile Rd
Detroit, MI 48235-1301

Mailing address

12720 W 7 Mile Rd
Detroit, MI 48235-1301
Phone (313) 863-6888

Other identifiers 3

IdentifierTypeStateIssuer
1669497327OtherRANDY NPI
1084800MedicaidMI
1528091378OtherFRED NPI

National Provider Directory

National Provider Directory

Locations

12720 W 7 Mile Rd
Detroit, MI 48235
Phone (313) 863-6888

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942491857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351301",
            "telephone_number": "313-863-6888",
            "fax_number": "313-863-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351301",
            "telephone_number": "313-863-6888",
            "fax_number": "313-863-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN FOOT SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-355-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "RL002077",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "FL000635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RANDY NPI",
            "identifier": "1669497327",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRED NPI",
            "identifier": "1528091378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.