FOOT AND ANKLE SPECIALISTS OF WEST MICHIGAN PLLC (NPI# 1790983898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790983898 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE SPECIALISTS OF WEST MICHIGAN PLLC |
| Practice Address |
5175 Plainfield Ave Ne Grand Rapids MI 49525-1048 |
| Practice Telephone | 6164530294 |
| Practice Fax Number | 6167261492 |
| Mailing Telephone | 6164530294 |
| Mailing Fax Number | 6167261492 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | KRISTI DYKSTRA (BILLING MANAGER) |
| Authorized Official Telephone | 6164530294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | RR001069 | MI | Suppliers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
RR001069 | MI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498920 | Foot and Ankle Specialists of West Michigan Pllc | Durable Medical Equipment & Medical Supplies | 1450 East Farr Road, Norton Shores, MI 49444-9738 | 2007-07-10 |
| 1417155508 | Foot and Ankle Specialists of West Michigan Pllc | Durable Medical Equipment & Medical Supplies | 1195 Wilson Nw, Grand Rapids, MI 49534-6404 | 2007-07-10 |
| Street Address |
5175 PLAINFIELD AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528094257 | Richard W Rozelle | Podiatrist | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 | 2006-06-24 |
| 1033551726 | West Michigan Heart | Internal Medicine | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 | 2013-07-23 |
| 1588907067 | Rebecca Ann Sundling | Podiatrist | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 | 2013-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912318502 | Brianna M David | Podiatrist | 2144 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-6117 | 2014-05-16 |
| 1154460962 | Foot & Ankle Specialists of West Michigan P L L C | Podiatrist | 2144 E Paris Se, Ste 100, Grand Rapids, MI 49546 | 2007-02-06 |
| 1679591226 | Eric K Gilbertson | Podiatrist | 1542 Golf Course Rd Ste 208, Grand Rapids, MN 55744-3555 | 2006-07-18 |
| 1447281662 | Corwyn B Bergsma | Podiatrist | 1195 Wilson Ave Nw, Suite 200, Grand Rapids, MI 49534-6405 | 2006-07-05 |
| 1790714277 | Michael George David | Podiatrist | 2144 East Paris Ave Se, Ste 100, Grand Rapids, MI 49546 | 2006-06-30 |
| 1679501290 | Patrick J Meyer | Podiatrist | 5175 Plainfield Drive N.e., Grand Rapids, MI 49525 | 2006-06-30 |
| 1023046844 | William Robert Decker | Podiatrist | 1195 Wilson Nw, Grand Rapids, MI 49534-6404 | 2006-06-29 |
| 1528094257 | Richard W Rozelle | Podiatrist | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 | 2006-06-24 |
| 1023053436 | Timothy J Hulst | Podiatrist | 2144 E. Paris Ave. Se, Ste 100, Grand Rapids, MI 49546 | 2006-06-19 |
| 1598760001 | Stephen D Harris | Podiatrist | 3260 Eagle Park Dr Ne, Suite 116, Grand Rapids, MI 49525-4569 | 2005-06-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on FOOT AND ANKLE SPECIALISTS OF WEST MICHIGAN 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.