Grandville Foot and Ankle, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GRANDVILLE FOOT AND ANKLE, P.C.

Practice address

3550 Fairlanes Ave SW
Grandville, MI 49418-1572

Phone

(616) 534-3920

Fax

(616) 534-0801

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sarah StewartNPI 1881045193

Title

Owner

Phone

(616) 534-3920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Sarah Stewart, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Grandville, MI
  • NPI 1881045193
  Medicare reassignment NPD Authorized official
• Martin John Faasse, DPM

  • Podiatrist
  • Grandville, MI
  • NPI 1558466995
  NPD (past)

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1114580339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494680164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 FAIRLANES AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181572",
            "telephone_number": "616-534-3920",
            "fax_number": "616-534-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVILLE FOOT AND ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-534-3920",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand View Ophthalmology PLC
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• Grandville Endodontics
• Grandville Eye Care, P.C.
• Grandville Family Dental Care, P.C.
• Grandville Pediatric Dentristry
• Grandville Pediatrics, P.C.
• Emily Ann Grantham, DNP
• Bryan David Gray, LPTA
• Kristen Gray

• Foot & Ankle Surgery Podiatrist in Grandville, MI
• Providers in Grandville, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.