Gary P. Ceresnie, D.P.M., P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901001780 Issued in MI

Legal business name

GARY P. CERESNIE, D.P.M., P.C.

Practice address

7990 Grand River Rd
Suite D
Brighton, MI 48114-7326

Phone

(810) 225-3338

Fax

(810) 225-3668

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary P. Ceresnie, D.P.M.

Title

President

Phone

(810) 225-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• About Feet Ankle and Foot Center of Brighton Doing business as

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1962425934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 GRAND RIVER RD",
            "address_2": "SUITE D",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147326",
            "telephone_number": "810-225-3338",
            "fax_number": "810-225-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 GRAND RIVER RD",
            "address_2": "SUITE D",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147326",
            "telephone_number": "810-225-3338",
            "fax_number": "810-225-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY P. CERESNIE, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "CERESNIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-225-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3313564",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "About Feet Ankle and Foot Center of Brighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Elizabeth Gallegos, DPT
• Jennifer Marie Reiss Gangnier, PA-C
• Jennifer Nicole Garcia, PSYD
• Lisa Garg
• Gordon Grant Garris II, PMHNP-BC
• Wyolean Crystal Gates, RN
• Marni Anne Gauci, PH.D.
• Genoa Therapy Services
• Gentle Strength Counseling
• Gerald a. Mato, D.D.S., P.L.L.C.

• Foot & Ankle Surgery Podiatrist in Brighton, MI
• Providers in Brighton, 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 Mar 11, 2008; 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.