West Michigan Foot and Ankle PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

WEST MICHIGAN FOOT AND ANKLE PLLC

Practice address

333 N Jebavy Dr
Ludington, MI 49431-1923

Phone

(231) 843-2690

Fax

(231) 600-7077

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Alexus SquiresNPI 1093227381

Title

DPM

Phone

(231) 843-2690

Specialties & licenses 1

Addresses

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.

• Alexus Squires, DPM

  • Podiatrist
  • Ludington, MI
  • NPI 1093227381
  Medicare reassignment Care Compare group NPD Authorized official
• Kristi Ann Bearup, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Ludington, MI
  • NPI 1821781907
  Medicare reassignment Care Compare group NPD
• Spencer Panse, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ludington, MI
  • NPI 1003519422
  NPD
• Alan L Mast, DPM

  • Podiatrist
  • Ludington, MI
  • NPI 1578671665
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1497350797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923",
            "telephone_number": "231-843-2690",
            "fax_number": "231-600-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "ALEXUS",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "231-843-2690"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Michigan Community Mental Health System
• West Michigan Community Mental Health System
• West Michigan Community Mental Health System
• West Michigan Community Mental Health System
• West Michigan Community Mental Health System
• West Michigan Heart
• West Michigan Physical Therapy PLLC
• West Shore Educational Service District
• West Shore Eye Care
• West Shore Eye Care PC

• Podiatric Clinic/Center in Ludington, MI
• Providers in Ludington, MI by specialty
• Podiatric Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.