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Organization

Great Lakes Foot & Ankle Institute PLLC

NPI Record: ActivePodiatrist — Foot & Ankle Surgery
NPI1063445237
Chesterfield, Michigan

Provider's NPPES record last updated: May 17, 2025

Overview

Entity Type
Organization
NPI
1063445237
Primary Specialty
Podiatrist — Foot & Ankle Surgery
Practice Location
Chesterfield, Michigan
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 7:28 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Podiatrist

    Foot & Ankle Surgery

    Podiatric Medicine & Surgery Service Providers

    Primary

    Definition to come...

    Taxonomy code 213ES0103X
  • Surgery

    Allopathic & Osteopathic Physicians

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X
  • Surgery

    Surgical Critical Care

    Allopathic & Osteopathic Physicians

    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 2086S0102X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X
  • Thoracic Surgery (Cardiothoracic Vascular Surgery)

    Allopathic & Osteopathic Physicians

    A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

    Taxonomy code 208G00000X
  • Podiatrist

    Podiatric Medicine & Surgery Service Providers

    A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

    Taxonomy code 213E00000X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X

Practice Locations

Practice Location

32743 23 Mile Rd Ste 110

Chesterfield, Michigan 48047-2082

Phone: (586) 725-3444

Additional Practice Location

14555 Levan Rd Ste E302

Livonia, Michigan 48154-5042

Phone: (734) 591-6612

Fax: (734) 591-6625

Additional Practice Location

29201 Telegraph Rd Ste 100

Southfield, Michigan 48034-7630

Phone: (248) 353-9300

Fax: (248) 353-9303

Additional Practice Location

13350 24 Mile Rd Ste 600

Shelby Twp, Michigan 48315-1827

Phone: (586) 725-3444

Additional Practice Location

4190 24th Ave Ste 102

Fort Gratiot, Michigan 48059-3883

Phone: (586) 725-3444

Additional Practice Location

43900 Garfield Rd Ste 140

Clinton Twp, Michigan 48038-1137

Phone: (586) 725-3444

Additional Practice Location

1135 W University Dr Ste 305

Rochester, Michigan 48307-1892

Phone: (586) 725-3444

Other Names

  • Great Lakes Foot & Ankle Institute PCReported February 16, 2024

Record Information

Enumeration Date
July 9, 2006
Provider's NPPES Record Last Updated
May 17, 2025
Certification Date
May 17, 2025
NPISignal NPPES Dataset
August 2026

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