Family Foot and Ankle Center, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FAMILY FOOT AND ANKLE CENTER, P.C.

Practice address

312 E Houghton Ave
West Branch, MI 48661-1128

Phone

(989) 667-4663

Fax

(989) 667-1964

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jill Louise Shink, D.P.M.NPI 1023074523

Title

Owner-Physician

Phone

(989) 667-4663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Foot and Ankle Center, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Bay City, MI
  • NPI 1396890570

  O20040415000468

  Same enrollment

Locations

Practitioners 3

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

• Jill Louise Shink, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bay City, MI
  • NPI 1023074523
  Medicare reassignment Care Compare group NPD Authorized official
• Michael T Ambroziak, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bay City, MI
  • NPI 1336105329
  Medicare reassignment Care Compare group NPD
• Jessica Elizabeth Macsuga, DPM

  • Podiatrist
  • Davison, MI
  • NPI 1174941116
  Medicare reassignment NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1447317136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WILDER RD",
            "address_2": "SUITE 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062301",
            "telephone_number": "989-667-4663",
            "fax_number": "989-667-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611128",
            "telephone_number": "989-667-4663",
            "fax_number": "989-667-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SHINK",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "989-667-4663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Emert
• Ruth Casey Erickson, PHARMD
• Geralyn M. Evon-Gabourie, CRNA
• Robert John Fabera, RN
• Stephanie Shay Fales, OTRL
• Elisabeth Joy Feil
• Maegan Genevieve Fernelius
• Jeffery Filter, PA-C
• Flourish Counseling Services LLC
• Walker Foland, DO

• Foot & Ankle Surgery Podiatrist in West Branch, MI
• Providers in West Branch, 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 23, 2009; 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.