Individual provider Active NPI

Victor Putz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Essexville, MI
National Provider Identifier
1154902286
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400507 Issued in MI
Practice address
3592 Center Ave
Essexville, MI 48732-1774
Phone
(989) 671-9930
Fax
(989) 671-9901
NPI assigned
Apr 20, 2021
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400507 MI Primary

Addresses

Primary practice location

3592 Center Ave
Essexville, MI 48732-1774

Mailing address

3592 Center Ave
Essexville, MI 48732-1774
Phone (989) 671-9939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710004784 MI Practitioner - Podiatry 9032654314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen a. Wang, DPM PCGroup PAC ID 0941634885, 2 clinicians

Practice addresses (Care Compare)

3592 Ctr Ave
Suite a
Essexville, MI 48732-1779
Phone (989) 402-7764

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue195
Removal of skin lesions24
Removal of nail tissue281
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allen a. Wang, DPM PC Podiatrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

3592 Center Ave
Essexville, MI 48732
Phone (989) 671-9930

3592 Center Ave
Ste A
Essexville, MI 48732
Phone (989) 402-7764

204 W Buttles St
Midland, MI 48640

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

Interoperability endpoints

  • Direct secure messaging: vputz2411124@direct.trinity-health.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1154902286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 CENTER AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321774",
            "telephone_number": "989-671-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 CENTER AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321774",
            "telephone_number": "989-671-9930",
            "fax_number": "989-671-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTZ",
        "first_name": "VICTOR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essexville, MI

Sources for this page

Verify at the official NPI Registry.