John Niemela

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002208 Issued in MI

Legal business name

JOHN NIEMELA

Practice address

1015 N 3Rd St
Suite #6
Marquette, MI 49855-3500

Phone

(906) 225-0181

Fax

(906) 225-0340

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

John D Niemela, DPM

Title

Physician Owner

Phone

(906) 225-0181

Specialties & licenses 2

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1114097474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N 3RD STREET",
            "address_2": "STE 6",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553500",
            "telephone_number": "906-225-0181",
            "fax_number": "906-225-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N 3RD ST",
            "address_2": "SUITE #6",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553500",
            "telephone_number": "906-225-0181",
            "fax_number": "906-225-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN NIEMELA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "NIEMELA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "906-225-0181",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002208",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "5901002208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4855201230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "611477200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00314266",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134882948",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5901002208",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPPER PENINSULA HLTH PLAN",
            "identifier": "4882948",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM ORTHOTIST",
            "identifier": "510E210880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiara J Johnson
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• Podiatrist in Marquette, MI
• Providers in Marquette, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.