Great Lakes Foot & Ankle Institute PLLC
NPI 1417620170 · Anatomic Pathology & Clinical Pathology Physician · Chesterfield, MI
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1417620170
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Great Lakes Foot & Ankle Institute PLLC
- Organization subpart
- Yes
- Authorized official
- Stephen Frascone, Owner(586) 725-3444
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anatomic Pathology Physician207ZP0101X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Great Lakes Foot & Ankle Institute PC
- Doing business as
- Great Lakes Foot and Ankle an Anatomic Pathology Laboratory
Registry dates
- Enumerated
- 2021-07-28
- Last updated
- 2025-05-17
- Certified
- 2025-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.