Family Foot Clinic P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001935 Issued in MI

Legal business name

FAMILY FOOT CLINIC P.C.

Practice address

4320 10TH St
Menominee, MI 49858-1314

Phone

(906) 863-5585

Fax

(906) 863-8420

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

David Alan Hammer, D.P.M.

Title

President

Phone

(906) 863-5585

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• James J Doty I, D.P.M.

  • Podiatrist
  • Appleton, WI
  • NPI 1598781452
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1215044276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 10TH ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498581314",
            "telephone_number": "906-863-5585",
            "fax_number": "906-863-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 10TH ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498581314",
            "telephone_number": "906-863-5585",
            "fax_number": "906-863-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-863-5585",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43226700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "4855525230",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4099852",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEA PRIVATE INSURANCE",
            "identifier": "090003914",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lynn Eland
• Britta Jo Elliot
• Cassandra Emmer
• Barbara Ann Erdman, RN
• Eyecare Services, LLC
• Joanne Claire Furton, PTA
• Gilbert E Garcia, M.S.W,A.C.S.W, LCSW
• Lynnette Marie Geib
• Mary Genisot
• Steve T Genisot

• All providers in Menominee, MI
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.