Terrence J Emiley, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901000775 Issued in MI

Practice address

1238 Fuller Ave NE
Grand Rapids, MI 49505-5533

Phone

(616) 452-0467

Fax

(616) 452-8885

NPI assigned

May 4, 2006

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Porter Hills Home Health West

  • Home Health Agency
  • Grand Rapids, MI
  • NPI 1508845066
  NPD (past)
• Professional Health Services, PLLC

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1952577900
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1487612610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LEONARD ST NW",
            "address_2": "SUITE 103",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495348447",
            "telephone_number": "616-453-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 FULLER AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055533",
            "telephone_number": "616-452-0467",
            "fax_number": "616-452-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMILEY",
        "first_name": "TERRENCE",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5901000775",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5106129",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440263",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Paige Emery, MD
• Todd A Emery, MD
• Mimi Emig, M.D.
• Megan Emigh
• Michael Emiley, D.P.M.
• Emily Blazic LLC
• Emily Brouwers Counseling LLC
• Emily Fortuna Therapy
• Emmanuel Hospice
• Emmanuel Hospice

• Podiatrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.