Long Lake Podiatry PC
NPI 1962526624ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Troy, MI
Podiatrist, Foot & Ankle Surgery in Troy, Michigan, registered in NPPES in March 2007. The authorized official on file is Amy Dooley, Office Manager. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1962526624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 5901001005 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Podiatrist, Foot & Ankle Surgery providers in Troy
- 1992363097
- 1962968719
- 1104011493
- 1831378116
- 1457703597
- 1801803309
- 1134248784
- 1730152141
- 1710544499
- 1912527391
- 1245507433
- 1437786019
All Podiatrist, Foot & Ankle Surgery providers in Michigan →