SOUTHWEST FOOTCARE SPECIALISTS, P.C. (NPI# 1457596793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457596793 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST FOOTCARE SPECIALISTS, P.C. |
| Practice Address |
6812 Shallowford Way Portage MI 49024-1715 |
| Mailing Address |
Po Box 2078 Portage MI 49081-2078 |
| Practice Telephone | 2692173668 |
| Mailing Telephone | 2692173668 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-16 |
| Authorized Official Name | DR. REGINA LYNNE SPEARS (OWNER) |
| Authorized Official Telephone | 2692173668 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901001629 | MI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
6812 SHALLOWFORD WAY |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952846776 | Veronica Alexis Kacmar-fedorchak | Podiatrist | 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2017-01-03 |
| 1295996502 | Portage Podiatry PC | Podiatrist | 1508 W Centre Ave, Portage, MI 49024-5356 | 2008-06-19 |
| 1982728200 | Podiatric Medical Associates PC | Podiatrist | 6289 Central Ave, Portage, IN 46368-3725 | 2007-03-19 |
| 1851498117 | Gentle Touch Foot Care, P.C. | Podiatrist | 5347 Wisteria St, Portage, MI 49002-0435 | 2006-09-20 |
| 1184662496 | Frederick N. Fedorchak | Podiatrist | 3215 Willowcreek Road, Portage, IN 46368-5013 | 2006-06-02 |
| 1306824040 | James H Simonds | Podiatrist | 126 E Kilgore Rd, Portage, MI 49002-0598 | 2006-01-04 |
| 1790156214 | Community Care Network, Inc | Podiatrist | 6375 Us Highway 6, Suite D, Portage, IN 46368-5217 | 2015-10-09 |
| 1992197925 | Three Rivers Health System, Inc | Podiatrist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
| 1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
| 1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
| 1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
| 1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
| 1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
| 1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
| 1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHWEST FOOTCARE SPECIALISTS, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.