Organization Active NPI

Tawas Foot Clinic

  • Durable Medical Equipment & Medical Supplies
  • Tawas City, MI
National Provider Identifier
1053616870
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5901001133 Issued in MI
Legal business name
TAWAS FOOT CLINIC
Practice address
166 W M 55
Tawas City, MI 48763-9251
Phone
(989) 362-6558
Fax
(989) 362-7168
NPI assigned
Jan 26, 2011
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Mrs. Becki Emry
Title
Office Manager
Phone
(989) 362-6558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5901001133 MI Primary

Addresses

Primary practice location

166 W M 55
Tawas City, MI 48763-9251

Mailing address

166 W M 55
P O Box 178
Tawas City, MI 48763-9251
Phone (989) 362-6558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1053616870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W M 55",
            "address_2": "P O BOX 178",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639251",
            "telephone_number": "989-362-6558",
            "fax_number": "989-362-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639251",
            "telephone_number": "989-362-6558",
            "fax_number": "989-362-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAWAS FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "EMRY",
        "authorized_official_first_name": "BECKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-362-6558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901001133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.