Michael Anthony Couch Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005821-1 Issued in NY

Practice address

4011 Arrowhead LN
Liverpool, NY 13090-2821

Phone

(315) 409-4165

Fax

(315) 409-4165

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael Couch Jr DPM

  • Podiatrist
  • Liverpool, NY
  • NPI 1114102316
  NPD Authorized official
• Foot Specialists of Cny PC

  • Podiatrist
  • East Syracuse, NY
  • NPI 1669526091
  NPD (past)
• Larim Medical PC

  • Diagnostic Radiology Physician
  • Rye, NY
  • NPI 1154607927
  NPD (past)
• T Rose Holdings, Inc.

  dba Traveling Optometry, PC

  • Optometrist
  • Syracuse, NY
  • NPI 1992863724
  NPD (past)
• Maxim of New York, LLC

  • Home Health Agency
  • Columbia, MD
  • NPI 1134433840
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1013956820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 ARROWHEAD LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902821",
            "telephone_number": "315-839-5575",
            "fax_number": "315-839-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ARROWHEAD LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902821",
            "telephone_number": "315-409-4165",
            "fax_number": "315-409-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005821-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02165644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Brice Corlyon
• Kaitlyn Rose Cornman, PA-C
• Melinda Correia, RN
• Kali Hale Costello, MS
• Christopher W Cotter, CASAC
• Craig a. Simmons, D. D. S.
• Jennifer L Cramer, OD
• Brandon William Crandall, NP
• Angelle M Cresswell, D.O.
• Annemarie Cristino, MSW

• Podiatrist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.