Individual provider Active NPI

Allison Beth Dozeman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Holland, MI
National Provider Identifier
1356684567
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002627 Issued in MI
Practice address
904 Washington Ave
Holland, MI 49423-7724
Phone
(616) 392-7472
Fax
(616) 392-3327
NPI assigned
Apr 5, 2013
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002627 MI Primary

Addresses

Primary practice location

904 Washington Ave
Holland, MI 49423-7724

Mailing address

15772 Ryan Dr
Holland, MI 49424-5513
Phone (217) 358-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160701000216 MI Practitioner - Podiatry 4284931486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

904 S Washington Ave
Suite 130
Holland, MI 49423-7724
Phone (616) 392-7472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.29 of 100Reported as group
Quality
80.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue353
Removal or shaving of skin growth122
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Foot and Ankle Center PC Podiatrist CurrentSince Aug 14, 2016 Accepting new patients
Holland Foot and Ankle Center PC Podiatrist CurrentSince Aug 14, 2016 Accepting new patients
Holland Foot and Ankle Center PC Podiatrist Past Accepting new patients
West Michigan Surgical Center, LLC Past Accepting new patients

Locations

904 Washington Ave
Holland, MI 49423
Phone (616) 392-7472

904 Washington Ave
Ste 130
Holland, MI 49423
Phone (616) 252-5950

901 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5405

Interoperability endpoints

  • Direct secure messaging: adozeman@hollandfoot.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1356684567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15772 RYAN DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494245513",
            "telephone_number": "217-358-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237724",
            "telephone_number": "616-392-7472",
            "fax_number": "616-392-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZEMAN",
        "first_name": "ALLISON",
        "middle_name": "BETH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.