NPIMap

Organization Active NPI

Southwest Footcare Specialists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Portage, MI
National Provider Identifier
1457596793
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001629 Issued in MI
Legal business name
SOUTHWEST FOOTCARE SPECIALISTS, P.C.
Practice address
6812 Shallowford Way
Portage, MI 49024-1715
Phone
(269) 217-3668
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Regina Lynne Spears, D.P.M.NPI 1568464501
Title
Owner
Phone
(269) 217-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901001629 MI Primary

Addresses

Primary practice location

6812 Shallowford Way
Portage, MI 49024-1715

Mailing address

PO Box 2078
Portage, MI 49081-2078
Phone (269) 217-3668

National Provider Directory

National Provider Directory

Locations

200 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 441-9300

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1457596793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490812078",
            "telephone_number": "269-217-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 SHALLOWFORD WAY",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241715",
            "telephone_number": "269-217-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FOOTCARE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-217-3668",
        "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": "MI",
            "license": "5901001629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.