Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Anthony Marc Mastrogiacomo, DPM

Individual provider Podiatrist · NPI 1720055387

Dr. Anthony Marc Mastrogiacomo, DPM is a Podiatry in South Lyon, Michigan. Graduated from New York College of Podiatric Medicine in 1996, 30 years ago. Practices with South Lyon Foot and Ankle Specialists, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
New York College of Podiatric Medicine
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

22245 Pontiac Trl
South Lyon, MI 48178-1639
Phone: (248) 486-8886
Fax: (248) 486-8887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence AM001831 (MI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence AM001831 (MI)

Record details

NPI number1720055387
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESFebruary 26, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 1996 (30 years in practice)
Group practice South Lyon Foot And Ankle Specialists, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Lyon