ORCHARD LAKE FOOTCARE SPECIALISTS P.L.L.C. NPI 1649240375

NPI Information

NPI: 1649240375
Provider Name: ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3206 ORCHARD LAKE RD
ORCHARD LAKE, MI
ZIP 48324
Phone: (248) 682-6662
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ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C. is a foot and ankle surgery podiatrist in Orchard Lake, MI. ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C. NPI is 1649240375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3206 ORCHARD LAKE RD
ORCHARD LAKE, MI
ZIP 48324-633
Phone: (248) 682-6662
Fax: (248) 682-2850

The provider's authorized official is Gerald Gold .
The authorized official title is Owner and has the following contact phone number (248) 682-6662.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 1/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0M61370	MEDICARE ID-TYPE UNSPECIFIED
2	1250750001	MEDICARE NSC
3	480F37410	OTHER	MICHIGAN	BCBSMI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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