Dr. Anthony Marc Mastrogiacomo
D.P.M | Podiatrist | 29+ years Exp
Medicare Enrolled
22245 Pontiac Trl, South Lyon
Michigan, 48178-1639
248-486-8886 248-486-8887
Maps & DirectionsDr. Anthony Marc Mastrogiacomo is a South Lyon, Michigan based podiatrist with 29 years of experience in Podiatry. He completed his graduation from New York College Of Podiatric Medicine in 1996. He is also affiliated with hospitals like Huron Valley-sinai Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Anthony Marc Mastrogiacomo for Podiatry is AM001831 in Michigan.
Dr. Anthony Marc Mastrogiacomo is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Anthony Marc Mastrogiacomo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M |
| Experience: | 29+ years |
| Medical School Attended: | New York College Of Podiatric Medicine |
| Graduation Year: | 1996 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 22245 Pontiac Trl, South Lyon,
Michigan, 48178-1639 |
| Phone: | 248-486-8886 |
| Fax: | 248-486-8887 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4183696966 |
| Enrollment ID: | I20040811001062 |
| NPI Number: | 1720055387 |
| NPI Enumeration Date: | 02 Mar, 2006 |
| NPI Last Update On: | 26 Feb, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anthony Marc Mastrogiacomo are as mentioned below.
| License Number | Specialization | State | Status | |
| AM001831 | Podiatry | Michigan | Primary | |
| AM001831 | Podiatric Foot & Ankle Surgery | Michigan | Secondary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Huron Valley-sinai Hospital (230277) | Commerce township, MI | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Anthony Marc Mastrogiacomo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4619433 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 22245 Pontiac Trl,
South Lyon, Michigan |
| Zip: | 48178-1639 |
| Phone Number: | 248-486-8886 |
| Fax Number: | 248-486-8887 |
Patients can reach Dr. Anthony Marc Mastrogiacomo at
22245 Pontiac Trl, South Lyon, Michigan or can
call to book an appointment on 248-486-8886.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.