Individual provider Active NPI

Conway T McLean, DPM

  • Podiatrist
  • Marquette, MI
National Provider Identifier
1215085790
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002555 Issued in MI
Practice address
700 W Washington St Ste B
Marquette, MI 49855-4164
Phone
(906) 225-7707
Fax
(906) 225-7710
NPI assigned
Jan 8, 2007
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002555 MI Primary

Addresses

Primary practice location

700 W Washington St Ste B
Marquette, MI 49855-4164

Mailing address

700 W Washington St Ste B
Marquette, MI 49855-4164
Phone (906) 225-7707

Other practice location 1

1323 Ludington St Unit B
Escanaba, MI 49829-2845
Phone (906) 225-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090227000195 IL Practitioner - Podiatry 5294891248 Reassigns benefits to 2 organizations
I20150324002215 MI Practitioner - Podiatry 5294891248 Reassigns benefits to 2 organizations
Practice locations: Escanaba, MI; Neguanee, MI; Marquette, MI; Ishpeming, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Mobile Foot Care LLCGroup PAC ID 9537672498, 13 clinicians

Practice addresses (Care Compare)

5310 N Sheridan Rd
Suite 1
Chicago, IL 60640-2515
Phone (312) 998-0974

700 W Washington St
Suite B
Marquette, MI 49855-4164
Phone (906) 225-7707

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions1-10
Removal of nail tissue321
Removal or shaving of skin growth68
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006601NYMDMental Health Counselor
5901002555MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Mobile Podiatry, PLLC Podiatrist CurrentSince Mar 1, 2022 Accepting new patients
Illinois Mobile Foot Care LLC Podiatrist CurrentSince Dec 24, 2025 Accepting new patients
Yasmin B. Khan, MD PA Current Accepting new patients
Conway McLean DPM PC Podiatrist CurrentSince Mar 27, 2014 Accepting new patients
Medical and Foot Care Group Past Accepting new patients
Medinah Spine & Rehabilitation LTD Past Accepting new patients
Foot and Ankle Inc Podiatrist Past Accepting new patients
Apk Consulting Incorporated PastSince Apr 1, 2013 Accepting new patients
American Physicians Associates LTD PastSince Jan 21, 2013 Accepting new patients

Locations

5310 N Sheridan Rd
Ste 1
Chicago, IL 60640
Phone (312) 998-0974

30150 Telegraph Rd
Ste 371
Bingham Farms, MI 48025
Phone (734) 493-1662

1414 W Fair Ave
Ste 215
Marquette, MI 49855
Phone (906) 225-3964

700 W Washington St
Ste B
Marquette, MI 49855
Phone (906) 225-5585

1080 W Campbell Rd
Ste 200
Richardson, TX 75080
Phone (972) 498-4510

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1215085790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W WASHINGTON ST STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554164",
            "telephone_number": "906-225-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W WASHINGTON ST STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554164",
            "telephone_number": "906-225-7707",
            "fax_number": "906-225-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 Ludington St Unit B",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498292845",
            "country_code": "US",
            "telephone_number": "906-225-7707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "CONWAY",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.