Organization Active NPI

Family Foot and Ankle Center, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Tawas City, MI
National Provider Identifier
1194871202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FAMILY FOOT AND ANKLE CENTER, P.C.
Practice address
295 Maple St
Suite 201
Tawas City, MI 48763-9352
Phone
(989) 667-4663
Fax
(989) 667-1964
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jill Shink, D.P.M.
Title
Owner,Physician
Phone
(989) 667-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

295 Maple St
Suite 201
Tawas City, MI 48763-9352

Mailing address

3801 Wilder Rd
Suite 2
Bay City, MI 48706-2301
Phone (989) 667-4663

National Provider Directory

National Provider Directory

Locations

295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194871202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WILDER RD",
            "address_2": "SUITE 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062301",
            "telephone_number": "989-667-4663",
            "fax_number": "989-667-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAPLE ST",
            "address_2": "SUITE 201",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639352",
            "telephone_number": "989-667-4663",
            "fax_number": "989-667-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHINK",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER,PHYSICIAN",
        "authorized_official_telephone_number": "989-667-4663",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.