| Lakeview Podiatry Assoc P C | |
|
22250 Providence Dr Ste 100, Southfield, MI 48075-6209 | |
| (248) 424-8637 | |
| (248) 424-8663 |
| Full Name | Lakeview Podiatry Assoc P C |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 22250 Providence Dr Ste 100, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518992536 | NPI | - | NPPES |
| 0M07610 | Other | MI | MEDICARE |
| 0H2788 | Other | MI | BCBSM |
| 4275305 | Medicaid | MI | |
| T34213 | Other | MI | HAP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901000690 (Michigan) | Primary |
| Provider Name | Guy R Pupp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467428045 PECOS PAC ID: 9133028996 Enrollment ID: I20031231000424 |
| Provider Name | Jack D Janigian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750357083 PECOS PAC ID: 0446210033 Enrollment ID: I20050425000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Podiatry Assoc P C 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 Ph: (248) 424-8637 | Lakeview Podiatry Assoc P C 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 Ph: (248) 424-8637 |
Medical Mobile Podiatry, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 24293 Telegraph Rd Ste 212, Southfield, MI 48033 Phone: 734-493-1662 | |
Dr. Richard Lee Grant, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29556 Southfield Rd, Suite 107, Southfield, MI 48076 Phone: 248-559-5959 Fax: 248-559-0552 | |
Rashonda Jones, Podiatrist Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Foot And Heel Pain Institute Of Michigan Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 608, Southfield, MI 48075 Phone: 248-557-6500 Fax: 248-557-2781 | |
Dr. Alaa Fawaz, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075 Phone: 248-849-3415 | |
Michael W Krupic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22972 Lahser Rd, Southfield, MI 48033 Phone: 248-353-0096 Fax: 248-353-4235 | |
Dr. Jason Bernard James Kurek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17515 West 9 Mile Rd, Suite 340, Southfield, MI 48075 Phone: 248-569-4000 Fax: 248-569-5771 |