NPIMap

Organization Active NPI

Southern Michigan Foot & Ankle, PLC

  • Podiatric Clinic/Center
  • Vicksburg, MI
National Provider Identifier
1245849009
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
SOUTHERN MICHIGAN FOOT & ANKLE, PLC
Practice address
14167 C B Macdonald Way
Vicksburg, MI 49097-8397
Phone
(616) 485-9748
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Dr. Michael Abraham Howell, DPMNPI 1316366636
Title
Owner/Physician
Phone
(616) 485-9748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

14167 C B Macdonald Way
Vicksburg, MI 49097-8397

Mailing address

14167 C B Macdonald Way
Vicksburg, MI 49097-8397
Phone (616) 485-9748

Practitioners 1

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1245849009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14167 C B MACDONALD WAY",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490978397",
            "telephone_number": "616-485-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14167 C B MACDONALD WAY",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490978397",
            "telephone_number": "616-485-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MICHIGAN FOOT & ANKLE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "616-485-9748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MI

Sources for this page

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