Organization Active NPI

Grandview Foot and Ankle PC

Doing business as Stacy A Uebele DPM

  • Podiatrist
  • Carson City, MI
National Provider Identifier
1114064185
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SU001970 Issued in MI
Legal business name
GRANDVIEW FOOT AND ANKLE PC
Doing business as
Stacy A Uebele DPM
Practice address
423 E Main St
Carson City, MI 48811-9741
Phone
(989) 584-3916
Fax
(989) 584-3917
NPI assigned
Jan 31, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Stacy Aaron Uebele, DPMNPI 1063435659
Title
Podiatrist
Phone
(269) 948-9155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SU001970 MI Primary

Addresses

Primary practice location

423 E Main St
Carson City, MI 48811-9741

Mailing address

PO Box 362
Hastings, MI 49058-0362
Phone (269) 948-9155

Other identifiers 1

IdentifierTypeStateIssuer
4766591MedicaidMI

Other names 1

  • Stacy A Uebele DPM Doing business as

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1114064185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490580362",
            "telephone_number": "269-948-9155",
            "fax_number": "269-948-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E MAIN ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119741",
            "telephone_number": "989-584-3916",
            "fax_number": "989-584-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "UEBELE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "269-948-9155",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "SU001970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4766591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacy A Uebele DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.