Michael Couch Jr DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005821 Issued in NY

Legal business name

MICHAEL COUCH JR DPM

Practice address

4011 Arrowhead LN
Liverpool, NY 13090-2821

Phone

(315) 409-4165

Fax

(315) 409-4165

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Couch Jr., MDNPI 1013956820

Title

Owner & Operator

Phone

(315) 409-4165

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony Couch Jr., DPM

  • Podiatrist
  • Liverpool, NY
  • NPI 1013956820
  NPD Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1114102316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130340",
            "telephone_number": "315-732-9368",
            "fax_number": "315-732-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ARROWHEAD LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902821",
            "telephone_number": "315-409-4165",
            "fax_number": "315-409-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL COUCH JR DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER & OPERATOR",
        "authorized_official_telephone_number": "315-409-4165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02165644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meridian Chiropractic & Wellness, PC
• A.John Merola, MD
• Alfonso John Merola IV, DDS
• Herbert A Merrick, CRPA, CARC
• Laura Anne Messina, LPN
• John W Michaels, MD
• Lauren Michaels, DPT
• Amy M Michalak, M.A.CCC-SLP
• Michelle Stiles LMHC PLLC
• Meghan Mieczkowski, DPT

• Podiatrist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.