Spartan Podiatry PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

WG000970 Issued in MI

Legal business name

SPARTAN PODIATRY PC

Practice address

1600 South Kalamazoo Ave.
Marshall, MI 49068

Phone

(269) 781-4700

Fax

(269) 781-7168

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Angela Robin, DPMNPI 1952662538

Title

Vice President

Phone

(269) 781-4700

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20440/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Angela Louise Robin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marshall, MI
  • NPI 1952662538
  Medicare reassignment Care Compare group NPD Authorized official
• James M Gray, DPM

  • Podiatrist
  • Marshall, MI
  • NPI 1508952821
  Medicare reassignment Care Compare group NPD
• Rene Siazon Juridico, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marshall, MI
  • NPI 1720566466
  Medicare reassignment Care Compare group NPD
• Carl Rueben Jay Jr., D.P.M.

  • Podiatrist
  • Bloomfield Hills, MI
  • NPI 1376981290
  Medicare reassignment NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1467664904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SOUTH KALAMAZOO AVE.",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "269-781-4700",
            "fax_number": "269-781-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SOUTH KALAMAZOO AVE.",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "269-781-4700",
            "fax_number": "269-781-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "ROBIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "269-781-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "WG000970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  DR. JAMES GRAY",
            "identifier": "485135002",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211332613",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  DR. WILLIAM GRAY",
            "identifier": "485135003",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central Ear Nose and Throat Associates PC
• South Michigan Ophthalmology P C
• Southern Michigan Doulas & Childbirth Education
• Southern Michigan Orthopaedics, PC
• Dustann Raye Spalding, FNP-C
• Sarah Sprouse
• Emily Steel
• Julie Steele, MSW
• Michael J Sterrett, M.D.
• Amy Stier, FNP

• Primary Podiatric Medicine Podiatrist in Marshall, MI
• Providers in Marshall, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.