Associated Foot Clinic of Fenton, P.C.
Organization Active NPI Foot & Ankle Surgery Podiatrist · Fenton, MI
NPI 1962570853 · NPPES record last updated Oct 6, 2009
Key facts
- NPI
- 1962570853
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- JN001106 (MI)
- Legal business name
- ASSOCIATED FOOT CLINIC OF FENTON, P.C.
- Practice address
- 102 N Adelaide St
Fenton, MI 48430-2670 - Phone
- (810) 750-8300
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey C Noroyan, D.P.M.
- Title
- Owner
- Phone
- (810) 750-8300
Practitioners 3
-
Jeffrey Charles Noroyan, D. P. M.
-
Timothy Brian Snyder, DPM
-
Allan L Kalmus, D.P.M
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070125000022 | MI | Part B Supplier - Clinic/Group Practice | 1456352046 |
Receives reassigned benefits from 2 practitioners Practice locations: Fenton, MI |
| O20100930007619 | MI | DME Supplier - Physician - Podiatry | 1456352046 | Practice locations: Fenton, MI |
National Provider Directory
Locations
915 S Dort Hwy
Flint, MI 48503
Phone (810) 233-5950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | JN001106 | MI | Yes |
Addresses
Primary practice location
102 N Adelaide St
Fenton, MI 48430-2670
Mailing address
191 N Park Blvd
Lake Orion, MI 48362
Phone (810) 693-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48-0B514890 | Other | MI | BCBSM |
Other providers in Fenton, MI
- Taressa Snyder Ariss
- Hugh Urban Armbruster
- Nancy Elizabeth Armbruster
- Matthew Ash
- Tessa Ash
- Athletico LTD
- Authentically You Wellness LLC
- Ali Awada
- Mitchel Babcock
- Back to Basics Physical Therapy LLC
All providers in Fenton, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.