Podcare Pc in Waterford - Podiatrist

Podcare Pc - NPI 1194760835

Podcare Pc is a Podiatrist in Waterford, Michigan. Podcare Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Podcare Pc is 1194760835. The last update date is 2018-05-09.

Podcare Pc's current location address is 2843 Keeley Ct, Waterford, Michigan. You can contact this provider via phone number 5867954060. The mailing address for Podcare Pc is 2843 Keeley Ct, Waterford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Podcare Pc
Address 2843 Keeley Ct, Waterford, Michigan
Phone Number 5867954060
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Repitor J Steven
Credentials MD
Telephone Number 5867954060

NPI Number Detail

NPI Number 1194760835
Provider Enumeration Date 2006-06-17
Last Updated Date 2018-05-09

Provider Mailing Address Detail

Address 2843 Keeley Ct
City Waterford
State Michigan (MI)
Post Code 48328
Phone Number 5867954060
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 5901400227
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4835330 MI --

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FAQs about Podcare Pc

What is the unique 10-digit identification code issued to Podcare Pc by the Centers for Medicare & Medicaid Services?

The Podcare Pc has been assigned the NPI (National Provider Identifier) 1194760835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Podcare Pc's facilities are situated?

The facilities of Podcare Pc are physically located at the following address: 2843 Keeley Ct, Waterford, MI, 48328.

What is Podcare Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Podcare Pc is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

On what date did the Podcare Pc receive the assignment of its 1194760835 from the Centers for Medicare & Medicaid Services?

The Podcare Pc was issued its 1194760835 by the Centers for Medicare & Medicaid Services on 2006-06-17.

As of what date were the details related to Podcare Pc most recently updated or revised?

The information pertaining to Podcare Pc, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-09.

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