Active NPI
Shelby Foot & Ankle, PLLC
- Podiatrist
- Shelby Township, MI
National Provider Identifier
1992931059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- AG002058
- Legal business name
- SHELBY FOOT & ANKLE, PLLC
- Practice address
- 50505 Schoenherr Rd
Suite 230
Shelby Township, MI 48315-3139 - Phone
- (586) 484-7894
- NPI assigned
- Jun 3, 2009
- 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
- Mrs. Glenda L Bloom
- Title
- Office Manager
- Phone
- (586) 580-3728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | AG002058 | MI | Primary |
Addresses
Primary practice location
50505 Schoenherr Rd
Suite 230
Shelby Township, MI 48315-3139
Mailing address
50505 Schoenherr Rd
Suite 230
Shelby Township, MI 48315-3139
Phone (586) 580-3728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2329 Stonebridge Dr
Bldg E
Flint, MI 48532
Phone (810) 230-9955
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Clarkston, MI
- NPI 1184723413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332892800000",
"number": "1992931059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50505 SCHOENHERR RD",
"address_2": "SUITE 230",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483153139",
"telephone_number": "586-580-3728",
"fax_number": "586-580-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50505 SCHOENHERR RD",
"address_2": "SUITE 230",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483153139",
"telephone_number": "586-484-7894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY FOOT & ANKLE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-03",
"last_updated": "2012-03-28",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "GLENDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "586-580-3728",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "AG002058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
- Shelby Counseling, Inc.
- Shelby Creek Pharmacy LLC
- Shelby Dental Care
- Shelby Eyecare Associates PC
- Shelby Family Cosmetic & Restorative Dentistry
- Shelby Grace Dental PLLC
- Shelby Health and Rehabilitation Center, LLC
- Shelby Macomb Vision Associates Inc
- Shelby Medical Equipment, Inc.
- Shelby Pediatric Associates and Child Lung Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.