Organization Active NPI

Khalil and Usen DPM PC II

  • Foot & Ankle Surgery Podiatrist
  • Lincoln Park, MI
National Provider Identifier
1972780286
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001881 Issued in MI
Legal business name
KHALIL AND USEN DPM PC II
Practice address
2075 Fort St
Lincoln Park, MI 48146-2191
Phone
(734) 284-1333
Fax
(734) 284-1311
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Alanna Weaver
Title
Medical Biller
Phone
(734) 284-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901001881 MI Primary

Addresses

Primary practice location

2075 Fort St
Lincoln Park, MI 48146-2191

Mailing address

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333

Other identifiers 1

IdentifierTypeStateIssuer
00H23317OtherBLUE CROSS AND BLUE SHIELD OF MICHIGAN

Other names 1

  • FAMILY FOOT AND ANKLE II Doing business as

National Provider Directory

National Provider Directory

Locations

2075 Fort St
Ste 100
Lincoln Park, MI 48146
Phone (313) 388-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1972780286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922304",
            "telephone_number": "734-284-1333",
            "fax_number": "734-284-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462191",
            "telephone_number": "734-284-1333",
            "fax_number": "734-284-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIL AND USEN DPM PC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ALANNA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "734-284-1333"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF MICHIGAN",
            "identifier": "00H23317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FOOT AND ANKLE II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.