PODIATRY WEST SENIOR FOOT CARE SERVICES PLLC (NPI# 1467625723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467625723 |
| Entity Type | Organization |
| Organization Name | PODIATRY WEST SENIOR FOOT CARE SERVICES PLLC |
| Practice Address |
56 Benjamin Ave Se Grand Rapids MI 49506-1628 |
| Practice Telephone | 6164569744 |
| Practice Fax Number | 6164510717 |
| Mailing Telephone | 6164569744 |
| Mailing Fax Number | 6164510717 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | DAVID SMITH (GENERAL MEMBER) |
| Authorized Official Telephone | 6164569744 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001622 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4461768 | 05 |
| Street Address |
56 BENJAMIN AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282409 | David Smith | Podiatrist | 56 Benjamin Ave Se, Grand Rapids, MI 49506-1628 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699839365 | Martin G Hoffmeister | Podiatrist | 2501 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49505-3700 | 2006-12-20 |
| 1376638114 | Michael J Trompen | Podiatrist | 4915 Cascade Rd Se, Grand Rapids, MI 49546 | 2006-10-04 |
| 1255432977 | Rodney Ray Senneker | Podiatrist | 6703 S Division Ave, Grand Rapids, MI 49548 | 2006-09-26 |
| 1144330556 | Anthony J Kirk | Podiatrist | 2050 Breton Rd Se, Suite 105, Grand Rapids, MI 49546-5547 | 2006-08-30 |
| 1235116872 | Alpine Family Podiatry PC | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-24 |
| 1407833049 | Croswell Podiatry Pllc | Podiatrist | 2460 Burton St Se, Suite 200, Grand Rapids, MI 49546-4800 | 2005-12-24 |
| 1740282409 | David Smith | Podiatrist | 56 Benjamin Ave Se, Grand Rapids, MI 49506-1628 | 2005-08-12 |
| 1982029716 | Kent Podiatry | Podiatrist | 1238 Fuller Ave Ne, Grand Rapids, MI 49505-5533 | 2014-03-04 |
| 1205155819 | Nathaniel J Voshel Dpm | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2010-05-21 |
| 1558590471 | Sandeep Kaur Bains | Podiatrist | 3355 Eagle Park Dr Ne, Suite 105, Grand Rapids, MI 49525-7004 | 2009-07-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on PODIATRY WEST SENIOR FOOT CARE SERVICES PLLC.
| 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.