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East Side Foot & Ankle Clinic PC

Foot & Ankle Surgery Podiatrist in Saint Clair Shores, MI · enumerated 2007 · authorized official David Berlin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801910229

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Registry record

Entity type Organization (Type 2)
Legal business name East Side Foot & Ankle Clinic PC
Practice address 22301 Greater Mack Ave, Suite 3, Saint Clair Shores, MI, 48080
Fax (586) 776-7003
Enumeration date Mar 19, 2007
Last updated in NPPES Sep 30, 2025

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 5901001005 (MI) Primary
332BC3200X Customized Equipment (DME) Suppliers · License 5901001005 (MI) Secondary

Authorized official

Name David Berlin
Title Owner

Other identifiers

Identifier Type State Issuer
2926711 Medicaid MI -
89594B Other MI HAP
480014028 Other MI RAILROAD MEDICARE PTAN
0005335144 Other MI AETNA
0Q24605 Other MI BLUECROSS PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is East Side Foot & Ankle Clinic PC?
East Side Foot & Ankle Clinic PC is registered in NPPES as a Foot & Ankle Surgery Podiatrist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-30.