Grandview Foot and Ankle PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SU001970 Issued in MI

Legal business name

GRANDVIEW FOOT AND ANKLE PC

Practice address

1005 W Green St
Suite Number 304
Hastings, MI 49058-1712

Phone

(269) 948-9155

Fax

(269) 948-9577

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Stacy Aaron Uebele, DPMNPI 1063435659

Title

Podiatrist

Phone

(269) 948-9155

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Stacy A Uebele DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Stacy A Uebele, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hastings, MI
  • NPI 1063435659
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1245376102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490580362",
            "telephone_number": "269-948-9155",
            "fax_number": "269-948-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "SUITE NUMBER 304",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-948-9155",
            "fax_number": "269-948-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "UEBELE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "269-948-9155",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "SU001970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4766591",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4710193",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4710219",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacy A Uebele DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natashia Goodacre
• Dylan Michael Eddy Goodrich
• Jaimie Goodwin
• Melissa Grables, MA
• Grand Rapids Foot & Ankles PC
• Gregory T Randall DDS PC
• Carey Sue Groendal, CNM
• Nathan Grube, BCBA
• H Augustesen PLLC
• Christopher Joel Haan, NP

• Podiatrist in Hastings, MI
• Providers in Hastings, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.