Provider Type Icon

ADVANCED PODIATRY OF DEARBORN PC NPI 1891863726


NPI Information

NPI: 1891863726
Provider Name: ADVANCED PODIATRY OF DEARBORN PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
7296 SIMSBURY DR
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 737-2343
Get Directions

ADVANCED PODIATRY OF DEARBORN PC is a podiatrist in West Bloomfield, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ADVANCED PODIATRY OF DEARBORN PC NPI is 1891863726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7296 SIMSBURY DR
WEST BLOOMFIELD, MI
ZIP 48322-548
Phone: (248) 737-2343
Fax: (248) 737-3959

The provider's authorized official is David Rosenberg .
The authorized official title is President and has the following contact phone number (248) 737-2343.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 9/26/2008.


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
1213E00000XPodiatrist5901000677MICHIGANYes

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
11080580MEDICAIDMICHIGAN
24333620001MEDICARE NSCMICHIGAN
3T78250MEDICARE UPIN
48825444OTHERMICHIGANBLUE CROSS & BLUE SHIELD
50P49320MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.