Southwest Foot & Ankle Specialists, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

TW002034 Issued in MI

Legal business name

SOUTHWEST FOOT & ANKLE SPECIALISTS, PC

Practice address

515 Howard St
Kalamazoo, MI 49008-1917

Phone

(269) 385-1000

Fax

(269) 385-5120

NPI assigned

May 12, 2006

Last updated

Sep 9, 2008By 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

Dr. Tamara M Whitaker Bay, DPMNPI 1912976978

Title

Owner

Phone

(269) 385-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Tamara Marie Whitaker Bay, DPM

  • Podiatrist
  • Kalamazoo, MI
  • NPI 1912976978
  Medicare reassignment NPD Authorized official
• Raziuddin Ahmed, DPM

  • Podiatrist
  • South Haven, MI
  • NPI 1972506293
  NPD (past)
• Mohammed Jamaluddin

  • Podiatrist
  • Kalamazoo, MI
  • NPI 1477658623
  NPD (past)
• Regina Lynne Spears, D.P.M.

  • Podiatrist
  • South Haven, MI
  • NPI 1568464501
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1417908633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081917",
            "telephone_number": "269-385-1000",
            "fax_number": "269-385-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081917",
            "telephone_number": "269-385-1000",
            "fax_number": "269-385-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FOOT & ANKLE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "WHITAKER BAY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-385-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "TW002034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4841159",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "480C912300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soul Care Solutions, PLLC
• Karen Bonebright Soule, LMSW
• Sound Inpatient Physicians-Michigan, PLLC
• Jessica Souter
• South West Home Care
• Southwest Michigan Doula Services
• Southwest Michigan Family Counseling
• Southwest Michigan Imaging Center LLC
• Southwest Michigan Recovery Center
• Southwestern Michigan Emergency Services, PC

• Foot & Ankle Surgery Podiatrist in Kalamazoo, MI
• Providers in Kalamazoo, 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 Sep 9, 2008; 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.