Great Lakes Foot and Ankle Specialists

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002661 Issued in TN

Legal business name

GREAT LAKES FOOT AND ANKLE SPECIALISTS

Practice address

10161 E Pickwick CT Ste E
Traverse City, MI 49684-5239

Phone

(231) 935-8800

NPI assigned

Jan 25, 2017

Last updated

Feb 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Szczepanski, DPMNPI 1649261348

Title

Physician

Phone

(231) 935-8800

Specialties & licenses 1

Addresses

Tax ID family

Great Lakes Foot and Ankle Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Great Lakes Foot & Ankle Specialist, PLLC

  • Podiatric Clinic/Center
  • Traverse City, MI
  • NPI 1548450414
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBHFCA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey A Szczepanski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Traverse City, MI
  • NPI 1649261348
  NPD Authorized official

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1356888697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 E PICKWICK CT STE E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845239",
            "telephone_number": "231-935-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 E PICKWICK CT STE E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845239",
            "telephone_number": "231-935-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "SZCZEPANSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "231-935-8800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "5901002661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Cardiology, P.C.
• Great Lakes Chiropractic of Michigan PLLC
• Great Lakes Dental Group
• Great Lakes Eye Consultants PLC
• Great Lakes Foot & Ankle Specialist, PLLC
• Great Lakes Home Healthcare Specialists, LLC
• Great Lakes Integrated Health PLLC (Great Lakes Integrated Health)
• Great Lakes Online Counseling LLC
• Great Lakes Orthopaedic Center
• Great Lakes Orthopaedic Center, P.C.

• Foot & Ankle Surgery Podiatrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.