Active NPI
Khalil and Usen DPM PC II
- Foot & Ankle Surgery Podiatrist
- Lincoln Park, MI
National Provider Identifier
1972780286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901001881
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00H23317 | Other | BLUE CROSS AND BLUE SHIELD OF MICHIGAN |
Other names 1
- FAMILY FOOT AND ANKLE II
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Southfield, MI
- NPI 1164460481
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.