Active NPI
Michigan Foot Surgeons, P.C.
- Foot & Ankle Surgery Podiatrist
- Detroit, MI
National Provider Identifier
1942491857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- FL000635
- 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, 2020
- 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
- Mrs. Marnie Louise Harris
- Title
- Office Manager
- Phone
- (248) 355-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669497327 | Other | RANDY NPI | |
| 1084800 | Medicaid | MI | |
| 1528091378 | Other | FRED NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Southfield, MI
- NPI 1528091378
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
- Michigan Emergency Services
- Michigan Emergency Services
- Michigan Employment & Training Plus (Met Plus)
- Michigan Employment & Training Plus (Met Plus)
- Michigan Family Connection
- Michigan Frontline Laboratory LLC
- Michigan Health Center PC
- Michigan Home Help Services LLC
- Michigan Infection Specialists PLLC
- Michigan Institute for Prevention and Intervention
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.