MISSION PODIATRY PLLC NPI 1013156272

Podiatrist (Foot & Ankle Surgery) in Clinton Township, MI

NPI 1013156272 Organization Podiatrist Foot & Ankle Surgery

About MISSION PODIATRY PLLC

Mission Podiatry Pllc is a provider established in Clinton Township, Michigan specializing in podiatrist (foot & ankle surgery) . The NPI number of Mission Podiatry Pllc is 1013156272 and was assigned on February 2009. The practitioner's primary taxonomy code is 213ES0103X with license number 5901002231 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Mission Podiatry Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Joyce Eva Patouhas Dpm (Podiatrist)

NPI

1013156272

Provider NameMISSION PODIATRY PLLC
Provider Location Address39090 GARFIELD RD STE 108 CLINTON TOWNSHIP, MI 48038
Provider Mailing Address4455 FOX HILL DR STERLING HEIGHTS, MI 48310
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-11-2009
Last Update Date08-10-2020


Primary Taxonomy

Taxonomy Code213ES0103X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot & Ankle Surgery
License No.5901002231
License StateMI

Business Address

MISSION PODIATRY PLLC
39090 GARFIELD RD STE 108
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 286-8660
Fax: (586) 286-8353

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Mailing Address

MISSION PODIATRY PLLC
4455 FOX HILL DR
STERLING HEIGHTS, MI
ZIP 48310
Phone: (586) 557-6170



Authorized Official

Authorized Official NameDR. JOYCE EVA PATOUHAS DPM
Authorized Official TitlePODIATRIST
Authorized Official Phone(586) 557-6170

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598794489 JOYCE E PATOUHAS DPM
Individual
Podiatrist39090 GARFIELD RD STE 108
CLINTON TOWNSHIP, MI 48038
(586) 286-8660
1669764304MISSION PODIATRY PLLC
Organization
Podiatrist (Foot & Ankle Surgery)39090 GARFIELD RD STE 108
CLINTON TOWNSHIP, MI 48038
(586) 286-8660

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.