NPIMap

Organization Active NPI

Footspecialist PC

Doing business as foot care institute of michigan

  • Foot & Ankle Surgery Podiatrist
  • Warren, MI
National Provider Identifier
1992986657
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000671 Issued in MI
Legal business name
FOOTSPECIALIST PC
Doing business as
foot care institute of michigan
Practice address
11885 E 12 Mile Rd
Suite 202 B
Warren, MI 48093-3474
Phone
(586) 755-4242
Fax
(586) 755-6231
NPI assigned
Nov 21, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Marshall Gregory Solomon, DPMNPI 1932147717
Title
Owner
Phone
(586) 755-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901000671 MI Primary

Addresses

Primary practice location

11885 E 12 Mile Rd
Suite 202 B
Warren, MI 48093-3474

Mailing address

21111 Middlebelt Rd
Farmington, MI 48336
Phone (248) 478-1150

Other identifiers 1

IdentifierTypeStateIssuer
1073253MedicaidMI

Other names 1

  • foot care institute of michigan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foot Specialist PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1992986657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21111 MIDDLEBELT RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "48336",
            "telephone_number": "248-478-1150",
            "fax_number": "248-478-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "SUITE 202 B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-755-4242",
            "fax_number": "586-755-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTSPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-755-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073253",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "foot care institute of michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.