Thomas Kevin Ernst, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901000955 Issued in MI

Practice address

828 10TH Ave
Port Huron, MI 48060-3640

Phone

(810) 982-4240

Fax

(810) 982-2479

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Blue Water Podiatry PC

  • Podiatrist
  • Bad Axe, MI
  • NPI 1447397138
  NPD (past) Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1174520274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 SHOREWOOD DR",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593137",
            "telephone_number": "810-385-2053",
            "fax_number": "810-385-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603640",
            "telephone_number": "810-982-4240",
            "fax_number": "810-982-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "THOMAS",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1958336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergency Care Specialists of St. Clair County, P.C.
• Kari Empson
• Kaitlyn Marie Enders, B.S.
• Enlightened Mind LLC
• Donald D Ernst, D.O.
• Stephanie Evans, LLMSW
• Eye Care Providers of Michigan PC
• Eye Care Providers of Michigan PC
• Moeta Ziarra Fabelo
• Laura W Fadell, LLP

• Foot & Ankle Surgery Podiatrist in Port Huron, MI
• Providers in Port Huron, 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 Oct 22, 2007; 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.