ASSOCIATED FOOT CLINIC OF LAKE ORION, P.C.

Provider Demographics

• NPI: 1821106584
• Name: ASSOCIATED FOOT CLINIC OF LAKE ORION, P.C.
• Entity Type: Organization
• Organization Name: ASSOCIATED FOOT CLINIC OF LAKE ORION, P.C.
• 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 - Credentials: D P M
• Authorized Official - Phone: 248-693-8400
• Mailing Address - Street 1: 191 N PARK BLVD
• Mailing Address - City: LAKE ORION
• Mailing Address - State: MI
• Mailing Address - Zip Code: 48362-3147
• Mailing Address - Country: US
• Mailing Address - Phone: 248-693-8400
• Mailing Address - Fax: 248-693-3970
• Practice Address - Street 1: 191 N PARK BLVD
• Practice Address - City: LAKE ORION
• Practice Address - State: MI
• Practice Address - Zip Code: 48362-3147
• Practice Address - Country: US
• Practice Address - Phone: 248-693-8400
• Practice Address - Fax: 248-693-3970
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-08-25
• Last Update Date: 2022-07-21

Provider Licenses

State	License ID	Taxonomies
MI	JN001106	213ES0103X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	213ES0103X	Podiatric Medicine & Surgery Service Providers	Podiatrist	Foot & Ankle Surgery	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MI	1316950660	Other	PERSONAL NPI - J. NOROYAN
MI	1821106584	Other	GROUP NPI - AFC, PC
MI	1659360212	Other	PERSONAL NPI - A. KALMUS
MI	1790702587	Other	PERSONAL NPI - G.CHRISTIN
MI	1793361	Medicaid
MA	480F373620	Other	BLUE CROSS BLUE SHIELD
MI	1245238153	Other	PERSONAL NPI - T. SNYDER
MI	4N8635053	Other	L. O. H - J. NOROYAN
MI	1316950660	Other	PERSONAL NPI - J. NOROYAN
MI	U19180	Medicare UPIN
MI	T34145	Medicare UPIN
MI	4N8635053	Other	L. O. H+ - J. NOROYAN
MI	1316950660	Other	PERSONAL NPI - J. NOROYAN
MI	1793361	Medicaid