Tawas Foot Clinic P.C.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

5901001133 Issued in MI

Legal business name

TAWAS FOOT CLINIC P.C.

Practice address

166 M 55
Tawas City, MI 48763

Phone

(989) 362-6558

Fax

(989) 362-7168

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Ryan R Wright

Title

Business Manager

Phone

(989) 362-6558

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Timothy St John, DPM

  • Podiatrist
  • Houghton Lake, MI
  • NPI 1871570416
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1528094489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640178",
            "telephone_number": "989-362-6558",
            "fax_number": "989-365-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "48763",
            "telephone_number": "989-362-6558",
            "fax_number": "989-362-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAWAS FOOT CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "989-362-6558"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310389",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MEDICARE",
            "identifier": "480026004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "71020000C51005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surya N Sankaran MD PC
• Tawas Bay Family Practice PC
• Tawas Chiropractic Center, Inc
• Tawas City Opco LLC
• Tawas Foot Clinic
• Tawas Pathologists, PC
• Tawas Pharmacy
• Tendercare Tawas City Inc.
• The Doctors Watson, PLLC
• Teresa Diane Tokarczyk, LMSW

• All providers in Tawas City, MI
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.