Provider Demographics
NPI:1346426160
Name:BYRON PLC
Entity Type:Organization
Organization Name:BYRON PLC
Other - Org Name:HARTLAND FOOT & ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN AND SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BYRON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:810-632-7800
Mailing Address - Street 1:11518 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-2722
Mailing Address - Country:US
Mailing Address - Phone:810-632-7800
Mailing Address - Fax:810-632-7877
Practice Address - Street 1:11518 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:MI
Practice Address - Zip Code:48353-2722
Practice Address - Country:US
Practice Address - Phone:810-632-7800
Practice Address - Fax:810-632-7877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISB001901213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P22720Medicare PIN
MIU81832Medicare UPIN