NPIMap

Organization Active NPI

Podiatry Plus PC

  • Podiatrist
  • Okemos, MI
National Provider Identifier
1134445174
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
JM001350 Issued in MI
Legal business name
PODIATRY PLUS PC
Practice address
2158 Commons Pkwy
Okemos, MI 48864-3986
Phone
(517) 349-6855
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mrs. Cheryl Bailey
Title
General Manager
Phone
(517) 321-9303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X JM001350 MI Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X LN001085 MI

Addresses

Primary practice location

2158 Commons Pkwy
Okemos, MI 48864-3986

Mailing address

2158 Commons Parkway Ave
Okemos, MI 48842
Phone (517) 349-6855

Other identifiers 4

IdentifierTypeStateIssuer
1245239631OtherMIIND UPIN
1743397MedicaidMI
1619976073OtherMIIND NPI
1710897MedicaidMI

Other names 1

  • Podiatry Plus PC Doing business as

National Provider Directory

National Provider Directory

Locations

2158 Commons Pkwy
Okemos, MI 48864
Phone (517) 349-6855

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1134445174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 COMMONS PARKWAY AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48842",
            "telephone_number": "517-349-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 COMMONS PKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643986",
            "telephone_number": "517-349-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY PLUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "517-321-9303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "JM001350",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "LN001085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND UPIN",
            "identifier": "1245239631",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1743397",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1619976073",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710897",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Plus PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.