Sterling Heights Utica Podiatrists PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901000675 Issued in MI

Legal business name

STERLING HEIGHTS UTICA PODIATRISTS PC

Practice address

8061 21 Mile Rd
Suite 1&2
Shelby Township, MI 48317-4311

Phone

(586) 254-2420

Fax

(586) 254-2447

NPI assigned

Jul 21, 2007

Last updated

Sep 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Howard Kent, D.P.M.

Title

President

Phone

(586) 254-2420

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1962602565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 21 MILE RD",
            "address_2": "SUITE 1&2",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174311",
            "telephone_number": "586-254-2420",
            "fax_number": "586-254-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8061 21 MILE RD",
            "address_2": "SUITE 1&2",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174311",
            "telephone_number": "586-254-2420",
            "fax_number": "586-254-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING HEIGHTS UTICA PODIATRISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-254-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360298",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "4885053950",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Steinbrenner
• Chad Robert Stencel, M.D.
• George C Stephen, RPT
• Hadeel Sabah Stephen, PHARM.D.
• Rose Stepnioski I
• Wendy Constance Stevelinck, OTR
• Jasmine Anne Stevenson
• Megan Stevenson, OTD, OTRL
• Corren Stewart
• Dionne Stewart, LMT

• Foot & Ankle Surgery Podiatrist in Shelby Township, MI
• Providers in Shelby Township, 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 Sep 6, 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.

Verify at the official NPI Registry.