Individual provider Active NPI

William Corry Stych, D.P.M.

  • Podiatrist
  • Traverse City, MI
National Provider Identifier
1386746808
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001631 Issued in MI
Practice address
4001 W Royal Dr
Traverse City, MI 49684-8965
Phone
(231) 935-0666
Fax
(231) 935-1660
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001631 MI Primary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 590101001631 MI

Addresses

Primary practice location

4001 W Royal Dr
Traverse City, MI 49684-8965

Mailing address

4001 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0666

Other identifiers 1

IdentifierTypeStateIssuer
2846782MedicaidMI

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
I20100528000616 MI Practitioner - Podiatry 0143210419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Associates PLLCGroup PAC ID 2163755703, 3 clinicians

Practice addresses (Care Compare)

4001 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue101
Removal of skin lesions1-10
Removal of nail tissue708
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
590101001631MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Associates PLLC Single Specialty CurrentSince Jun 10, 2019 Accepting new patients
David P. Sheldon Single Specialty PastSince Jun 13, 2019 Accepting new patients

Locations

4001 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0666

9715 E Cherry Bend Rd
Traverse City, MI 49684
Phone (231) 932-9020

9739 E Cherry Bend Rd
Traverse City, MI 49684
Phone (231) 932-9020

Interoperability endpoints

  • Direct secure messaging: william.stych@afa.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1386746808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0666",
            "fax_number": "231-935-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0666",
            "fax_number": "231-935-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYCH",
        "first_name": "WILLIAM",
        "middle_name": "CORRY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001631",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "590101001631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846782",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.