NPIMap

Organization Active NPI

Flint Foot & Ankle PLLC

Doing business as Clio Foot & Ankle

  • Podiatrist
  • Flint, MI
National Provider Identifier
1952955601
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FLINT FOOT & ANKLE PLLC
Doing business as
Clio Foot & Ankle
Practice address
2329 Stonebridge Dr BLDG E
Flint, MI 48532-5407
Phone
(810) 230-9955
NPI assigned
Jul 31, 2019
Last updated
Sep 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Authorized official

Name
Dr. Ronald Martin, DPMNPI 1295762888
Title
Ceo
Phone
(810) 230-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2329 Stonebridge Dr BLDG E
Flint, MI 48532-5407

Mailing address

2329 Stonebridge Dr BLDG E
Flint, MI 48532-5407
Phone (810) 230-9955

Other practice location 1

4091 W Vienna Rd
Clio, MI 48420-9437
Phone (810) 687-7350

Other names 1

  • Clio Foot & Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190907000117 MI Part B Supplier - Clinic/Group Practice 2769711399 Receives reassigned benefits from 2 practitioners
Practice locations: Flint, MI
O20200414000780 MI DME Supplier - Multi-Specialty - PhysicianDME Supplier - Physician - Podiatry 2769711399 Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

2329 Stonebridge Dr
Bldg E
Flint, MI 48532
Phone (810) 230-9955

Practitioners & affiliated clinicians

Practitioners 3

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": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567900800000",
    "number": "1952955601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 STONEBRIDGE DR BLDG E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 STONEBRIDGE DR BLDG E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4091 W Vienna Rd",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484209437",
            "country_code": "US",
            "telephone_number": "810-687-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLINT FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-09-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-230-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clio Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clio Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.