MEDICARE: OMNI FOOTCARE ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	AW001164	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	DE4368	OTHER	MI	RAILROAD MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83069B	OTHER	MI	HAP
2	AW001164	OTHER	MI	STATE LICENSE
3	870453	OTHER	MI	UNITED HEALTHCARE
4	C7479	OTHER	MI	M CARE
5	4662672	OTHER	MI	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	480E021060	OTHER	MI	BCBSM
8	4885050380	OTHER	MI	BCBS
10	104435	OTHER	MI	GREAT LAKES

General Provider Information

NPI Number	:	1689862666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMNI FOOTCARE ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	13811 19 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-2705
Country	:	US
Telephone Number	:	586-247-0840
Fax Number	:	586-247-7668

Provider Business Practice Location Address
First Line	:	13811 19 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-2705
Country	:	US
Telephone Number	:	586-247-0840
Fax Number	:	586-247-7668

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARNOLD BRYAN WOLF
Credential	:	DPM
Telephone Number	:	586-247-0840

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/17/2023

Similar Medicare Providers

1124020847 — DR. ARNOLD BRYAN WOLF DPM
Practice Location Address:

13811 19 MILE RD
STERLING HEIGHTS, MI
48313-2705

Practice Phone: 586-247-0840
Practice Fax: 586-247-7668

1558512723 — GRAND VICTORIAN OF STERLING MASTER LESSEE, LLC
Practice Location Address:

2705 AVENUE E
STERLING, IL
61081-9016

Practice Phone: 815-622-2800
Practice Fax: 815-622-2801

1649909789 — SNH AL AIMO TENANT, INC.
Practice Location Address:

2705 AVENUE E
STERLING, IL
61081-9016

Practice Phone: 815-622-2800
Practice Fax: 815-622-2801

1700836715 — METROHEALTH CONCORDIA CARE
Practice Location Address:

2373 EUCLID HEIGHTS BLVD RM 101
CLEVELAND HEIGHTS, OH
44106-2705

Practice Phone: 216-791-3580
Practice Fax: 216-791-3281

1700940657 — CONCORDIA CARE
Practice Location Address:

2373 EUCLID HEIGHTS BLVD
CLEVELAND HEIGHTS, OH
44106-2705

Practice Phone: 216-791-3580
Practice Fax: 216-791-3281

1063677953 — DR. DEEPA JAYAM
Practice Location Address:

3 PARKWAY DR
ROSLYN HEIGHTS, NY
11577-2705

Practice Phone: 516-656-0881
Practice Fax:

Directions to “OMNI FOOTCARE ASSOCIATES, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.