FOOT AND ANKLE GROUP, P.C. (NPI# 1831219542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831219542 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE GROUP, P.C. |
| Other Organization Name | SOUTHWEST PODIATRY ASSOCIATES, P.C. |
| Practice Address |
6533 E Jefferson Ave Apt 317 Detroit MI 48207-4361 |
| Practice Telephone | 3135105149 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | VALERIE BASKERVILLE (PRESIDENT) |
| Authorized Official Telephone | 3135105149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5901001685 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3217423 | 05 | |
| BCBSM | 0H21400 | 01 |
| Other Name | Type Code |
|---|---|
| Southwest Podiatry Associates, P.C. | Doing Business As Name - Organization |
| Street Address |
6533 E JEFFERSON AVE APT 317 |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104994 | Precision Podiatry Pllc | Podiatrist | 1621 E Broomfield St Ste B, Mt Pleasant, MI 48858-5427 | 2020-04-28 |
| 1154663235 | Radu Dan Purtuc | Podiatrist | 422 N Center St Ste B, Northville, MI 48167-1224 | 2013-03-26 |
| 1649419300 | Total Loving Care & Podiatric Services, P.C. | Podiatrist | 15324 Michigan Ave, Dearborn, MI 48126-2917 | 2009-02-19 |
| 1912143389 | Tameka Parham Taylor | Podiatrist | 29425 Northwestern Hwy Ste 125, Southfield, MI 48034-1083 | 2009-01-06 |
| 1558515072 | Kristi S Schons Dpm Inc | Podiatrist | 3036 Voorheis Lake Ct, Lake Orion, MI 48360-1867 | 2008-11-11 |
| 1790938926 | Northern Foot & Ankle Centers PC | Podiatrist | 4656 E F 41, Oscoda, MI 48750-2227 | 2008-10-31 |
| 1801080650 | Brandon A West | Podiatrist | 1266 S Commerce Rd, Walled Lake, MI 48390-3008 | 2007-09-04 |
| 1467664904 | Spartan Podiatry PC | Podiatrist | 1600 South Kalamazoo Ave., Marshall, MI 49068 | 2007-05-04 |
| 1548385156 | Paul Mallamo | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-03-20 |
| 1518093400 | Auburn Adult Foot Care, P C | Podiatrist | 4319 Foxpointe Dr, West Bloomfield, MI 48323-2615 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.