Harry a Kezelian Jr D P M P C

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001098 Issued in MI

Legal business name

HARRY A KEZELIAN JR D P M P C

Practice address

4160 John R St
Suite 1012
Detroit, MI 48201-2020

Phone

(313) 831-6442

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Harry Alger Kezelian Jr., D.P.M.NPI 1629083035

Title

President

Phone

(248) 354-0057

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Harry a Kezelian Jr D P M P C

  • Podiatrist
  • Southfield, MI
  • NPI 1568646404
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry Alger Kezelian Jr., D.P.M.

  • Podiatrist
  • Southfield, MI
  • NPI 1629083035
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1952455610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341332",
            "telephone_number": "248-354-0057",
            "fax_number": "248-723-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 1012",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-831-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY A KEZELIAN JR D P M P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "KEZELIAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "ALGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-354-0057",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Harrison
• Norman Oliver Harrison, M.D.
• Precious Harrison
• Regina Harrison
• Vidal Harrison
• Jamie Harry
• Hart EMS Medical Services, PLLC
• Judy Annette Hart-Bermea, T.L.L.P.
• Bianca D Hart
• Brian Dewayne Hart, LLBSW

• Podiatrist in Detroit, MI
• Providers in Detroit, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.