Provider Demographics
NPI:1629181847
Name:JEFFREY NOROYAN, D.P.M., P.L.L.C.
Entity Type:Organization
Organization Name:JEFFREY NOROYAN, D.P.M., P.L.L.C.
Other - Org Name:ASSOCIATED FOOT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:NOROYAN
Authorized Official - Suffix:
Authorized Official - Credentials:D P M
Authorized Official - Phone:810-233-5950
Mailing Address - Street 1:915 S DORT HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2800
Mailing Address - Country:US
Mailing Address - Phone:810-233-5950
Mailing Address - Fax:810-233-4910
Practice Address - Street 1:915 S DORT HWY
Practice Address - Street 2:SUITE D
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2800
Practice Address - Country:US
Practice Address - Phone:810-233-5950
Practice Address - Fax:810-233-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJN001106213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0989409OtherTIMOTHY B. SNYDER H
MI1316950660OtherPERSONAL NPI - J. NOROYAN
MI4102798Medicaid
MI1245238153OtherPERSONAL NPI - T. SNYDER
MI4351701Medicaid
MI4885977Medicaid
MI1629181847OtherGROUP NPI - J. NOROYAN
MI488635053OtherJEFFREY NOROYAN H
MI1659360212OtherPERSONAL NPI - A. KALMUS
MI480B51113OtherBCBSM GROUP
MI4351701Medicaid
MI0989409OtherTIMOTHY B. SNYDER H+
MI1659360212OtherPERSONAL NPI - A. KALMUS
MI1245238153OtherPERSONAL NPI - T. SNYDER
MI488635053OtherJEFFREY NOROYAN H+