RECONSTRUCTIVE FOOT CLINIC
NPI 1104085083
Podiatrist - Foot & Ankle Surgery in Oak Park, MI

Active since June 05, 2008
13855 W 9 MILE RD, SUITE C, OAK PARK, MI 48237(248) 545-4110(248) 544-2502 Get Directions Write a Review

NPPES record last updated: August 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reconstructive Foot Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RECONSTRUCTIVE FOOT CLINIC (NPI 1104085083) is a healthcare organization registered as a foot & ankle surgery in Oak Park, Michigan and active in the NPI registry since June 2008. The organization lists Sehra Siddique, Manager, as its authorized official.

NPPES Registry Identity

NPI1104085083
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCENTER FOR RECONSTRUCTIVE SURGERY OF THE FOOT ANKLE & LEG, PLLC
Location Address13855 W 9 MILE RD, SUITE COak Park, MI 48237-2775
Mailing Address13855 W 9 Mile Rd, Suite COak Park, MI 48237-2775 · (248) 545-4110 · Fax (248) 544-2502
Fax(248) 544-2502
Organization SubpartNo
Authorized OfficialSehra SiddiqueManager · (248) 545-4110
Enumeration DateJune 5, 2008
Last NPPES UpdateAugust 4, 2012
NPI 1104085083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MI · 5901002201
13855 W 9 MILE RD, Oak Park, MI 48237

Other Names 1

Doing Business AsReconstructive Foot Clinic

Other Identifiers 5

Other4856319350MI · Bcbsm
Other6140810001MI · Medicare Ngs
Medicaid0P61440MI
Other0P61440Aetna
Medicare PIN0P61440MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
13855 W 9 MILE RD, SUITE B
OAK PARK, MI 48237
Physical Therapist
13855 W 9 MILE RD, SUITE A
OAK PARK, MI 48237
Durable Medical Equipment & Medical Supplies
13855 W 9 MILE RD
OAK PARK, MI 48237
Clinic/Center (Rehabilitation)
13855 W 9 MILE RD, SUITE A
OAK PARK, MI 48237
Occupational Therapist
13855 W 9 MILE RD
OAK PARK, MI 48237
Speech-Language Pathologist
13855 W 9 MILE RD
OAK PARK, MI 48237

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC's NPI number?

The NPI number for Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC is 1104085083. It was assigned to this organization in the NPPES registry on June 5, 2008. The provider is doing business as Reconstructive Foot Clinic.

Where is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC located?

Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC is located at 13855 W 9 Mile Rd Suite C, Oak Park, MI 48237. The listed phone number is (248) 545-4110.

What is Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center For Reconstructive Surgery Of The Foot Ankle & Leg, PLLC was last updated on August 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.