Jill Louise Shink, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

5901001781 Issued in MI

Practice address

3801 Wilder Rd
Suite 2
Bay City, MI 48706-2301

Phone

(989) 667-4663

Fax

(989) 667-1964

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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 MI

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

Kent State University College of Podiatric Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Foot and Ankle Center, P.C.Group PAC ID 8921093436, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Foot and Ankle Center, P.C.

  • Foot & Ankle Surgery Podiatrist
  • West Branch, MI
  • NPI 1447317136
  Medicare reassignment Care Compare group NPD Authorized official
• Family Foot and Ankle Center, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Bay City, MI
  • NPI 1396890570
  NPD (past) Authorized official

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1023074523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062301",
            "telephone_number": "989-667-4663",
            "fax_number": "989-667-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WILDER RD",
            "address_2": "SUITE 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062301",
            "telephone_number": "989-667-4663",
            "fax_number": "989-667-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINK",
        "first_name": "JILL",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3346547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Shetler, RPH
• Marsha Shields
• Inkun Shin, MD
• Shinedling & Shinedling PC
• Teresa Cecelia Shinedling, LMSW ACSW MFT
• Allison Shotwell
• Chinye Showole, MD
• Mazen M Shweika, CRNA
• Leslie Siegmund
• Rita Mae Sierakowski, MA LLP

• Primary Podiatric Medicine Podiatrist in Bay City, MI
• Providers in Bay City, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.