Active NPI
Anthony Giordano DPM PC
- Podiatrist
- Shelby Township, MI
National Provider Identifier
1962589481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901002058
- Legal business name
- ANTHONY GIORDANO DPM PC
- Practice address
- 51523 Van Dyke Ave
Shelby Township, MI 48316-4447 - Phone
- (734) 812-3194
- NPI assigned
- Nov 1, 2006
- 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
- Dr. Anthony Giordano, DPM
- Title
- Owner/President
- Phone
- (734) 812-3194
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901002058 | MI | Primary |
Addresses
Primary practice location
51523 Van Dyke Ave
Shelby Township, MI 48316-4447
Mailing address
19832 Demil Dr
Macomb, MI 48044-6313
Phone (734) 812-3194
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139161 | Other | MI | CARE CHOICES |
| 139161 | Other | MI | PREFERRED CHOICES |
| 4939263 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Shelby TWP, MI
- NPI 1023062650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197244800000",
"number": "1962589481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19832 DEMIL DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480446313",
"telephone_number": "734-812-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51523 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483164447",
"telephone_number": "734-812-3194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY GIORDANO DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2007-12-10",
"status": "A",
"authorized_official_last_name": "GIORDANO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "734-812-3194",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "139161",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICES",
"identifier": "139161",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4939263",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.