Active NPI
Grandview Foot and Ankle PC
Doing business as Stacy A Uebele DPM
- Podiatrist
- Carson City, MI
National Provider Identifier
1114064185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SU001970
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Aaron Uebele, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4766591 | Medicaid | MI |
Other names 1
- Stacy A Uebele DPM
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Foot & Ankle Surgery Podiatrist
- Hastings, MI
- NPI 1063435659
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.