Lakeview Podiatry Assoc P C in Southfield - Foot & Ankle Surgery
Lakeview Podiatry Assoc P C - NPI 1518992536
Lakeview Podiatry Assoc P C is a Foot & Ankle Surgery in Southfield, Michigan. Lakeview Podiatry Assoc P C practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Lakeview Podiatry Assoc P C is 1518992536. The last update date is 2017-10-17.
Lakeview Podiatry Assoc P C's current location address is 22250 Providence Dr Ste 100, Southfield, Michigan. You can contact this provider via phone number 2484248637 and fax number 2484248663. The mailing address for Lakeview Podiatry Assoc P C is 22250 Providence Dr Ste 100, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeview Podiatry Assoc P C |
|---|---|
| Address | 22250 Providence Dr Ste 100, Southfield, Michigan |
| Phone Number | 2484248637 |
| Fax Number | 2484248663 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Pupp Guy |
| Credentials | DPM |
| Telephone Number | 2484248637 |
NPI Number Detail
| NPI Number | 1518992536 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2017-10-17 |
Provider Mailing Address Detail
| Address | 22250 Providence Dr Ste 100 |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480756209 |
| Phone Number | 2484248637 |
| Fax Number | 2484248663 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 5901000690 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0M07610 | MI | MEDICARE | |
| 0H2788 | MI | BCBSM | |
| 4275305 | MI | -- | |
| T34213 | MI | HAP PROVIDER # |
Post Comment/ Review Below
What is the Lakeview Podiatry Assoc P C's unique identification number?
The Lakeview Podiatry Assoc P C has been assigned the NPI (National Provider Identifier) Number 1518992536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lakeview Podiatry Assoc P C's facilities are geographically located?
The facilities of Lakeview Podiatry Assoc P C are physically situated at the following location: 22250 Providence Dr Ste 100, Southfield, MI, 480756209.
What is the area of specialization for Lakeview Podiatry Assoc P C, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lakeview Podiatry Assoc P C is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.
On what date did Lakeview Podiatry Assoc P C receive its 1518992536 assignment from the Centers for Medicare & Medicaid Services?
The Lakeview Podiatry Assoc P C was assigned its 1518992536 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lakeview Podiatry Assoc P C last refreshed?
The information related to the Lakeview Podiatry Assoc P C, including its address, specialty, and other relevant details, was last updated on 2017-10-17.