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GREAT LAKES PODIATRY ASSOCIATES PLLC
NPI 1316393309
Podiatrist - Foot & Ankle Surgery in Waterford, MI

Active since May 09, 2016
3560 PONTIAC LAKE RD, WATERFORD, MI 48328(248) 674-2575(248) 674-0577 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Podiatry Associates Pllc NPPES

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

GREAT LAKES PODIATRY ASSOCIATES PLLC (NPI 1316393309) is a healthcare organization registered as a foot & ankle surgery in Waterford, Michigan and active in the NPI registry since May 2016. The organization lists Sheldon J Goldstein, President, as its authorized official.

NPPES Registry Identity

NPI1316393309
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGREAT LAKES PODIATRY ASSOCIATES PLLC
Location Address3560 PONTIAC LAKE RDWaterford, MI 48328-2337
Mailing Address3560 Pontiac Lake RdWaterford, MI 48328-2337 · (248) 674-2575 · Fax (248) 674-0577
Phone(248) 674-2575
Fax(248) 674-0577
Organization SubpartNo
Authorized OfficialSheldon J GoldsteinPresident · (248) 674-2575
Enumeration DateMay 9, 2016
✔ NPI 1316393309 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 · 5901000581
3560 PONTIAC LAKE RD, Waterford, MI 48328
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT34179MI

Group Practice 1

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

Other Providers at the Same Location NPPES 7

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

WATERFORD MEDICAL PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-4853
DR. PAUL M. GOLD D.O.
Family Medicine
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259
SHELDON J GOLDSTEIN DPM
Podiatrist (Foot & Ankle Surgery)
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2575
DR. JOEL K LEIB DO
Family Medicine
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259
MICHIGAN ASSOCIATES IN PODIATRIC MEDICINE AND SURGERY PC
Podiatrist (Foot & Ankle Surgery)
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2575
MARSHA SCHULTZ PA
Personal Emergency Response Attendant
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259
WATERFORD MEDICAL ASSOCIATES PC
Family Medicine
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259

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 Great Lakes Podiatry Associates PLLC's NPI number?

The NPI number for Great Lakes Podiatry Associates PLLC is 1316393309. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is Great Lakes Podiatry Associates PLLC located?

Great Lakes Podiatry Associates PLLC is located at 3560 Pontiac Lake Rd, Waterford, MI 48328. The listed phone number is (248) 674-2575.

What is Great Lakes Podiatry Associates PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Great Lakes Podiatry Associates PLLC was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.