EAST SIDE FOOT & ANKLE CLINIC PC
EAST SIDE FOOT & ANKLE CLINIC PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1801910229, based in Saint Clair Shores, MI. The organization lists 2 taxonomy classifications, with Foot & Ankle Surgery Podiatrist recorded as primary.
Getting there
The practice address on file is 22301 GREATER MACK AVE SUITE 3, Saint Clair Shores, MI 48080. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5901001005 | MI | Foot & Ankle Surgery Podiatrist primary |
| 5901001005 | MI | Customized Equipment (DME) |
This provider holds licence 5901001005 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3971614421
- Enrollment ID
- O20110714000325
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Foot & Ankle Surgery covers
Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0103X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 5901001005 | MI | primary |
| 332BC3200X | Customized Equipment (DME) Customized Equipment | 5901001005 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1801910229 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 19, 2007 |
| Last updated | Sep 30, 2025 |
| Status | Active |
| Practice address |
22301 GREATER MACK AVE SUITE 3 Saint Clair Shores, MI 48080 (586) 776-7000 Fax (586) 776-7003 |
| Other identifiers |
2926711
· Medicaid (MI) 89594B · Other (MI) 480014028 · Other (MI) 0005335144 · Other (MI) 0Q24605 · Other (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 0 | 1 | 9 | 1 | 0 | 2 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 0 | 1 | 9 | 1 | 0 | 2 | 4 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.