Provider Demographics
NPI:1598765141
Name:SCHONS, KRISTI (DPM)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:
Last Name:SCHONS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 S LAPEER RD
Mailing Address - Street 2:STE 101
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1415
Mailing Address - Country:US
Mailing Address - Phone:248-693-7700
Mailing Address - Fax:
Practice Address - Street 1:7001 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 230B
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3659
Practice Address - Country:US
Practice Address - Phone:248-855-3232
Practice Address - Fax:248-855-3338
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2019-08-20
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
MIKS001995213E00000X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI13 4782030Medicaid
MI4429090Medicaid
MIP00284860OtherMEDICARE RAILROAD
MI137001OtherPRIORITY HEALTH
MI480E01215OtherBLUE CROSS/BLUE SHIELD MI
MI13 4777245Medicaid
MIP00303948OtherMEDICARE RAILROAD
MIN13530003Medicare ID - Type Unspecified
MI13 4782030Medicaid
MIN49300009Medicare PIN
MIU91370Medicare UPIN
MI480E01215OtherBLUE CROSS/BLUE SHIELD MI
MIF37227013Medicare PIN