Martin John Faasse, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MF000943 Issued in MI

Practice address

3550 Fairlanes SW
Grandville, MI 49418

Phone

(616) 534-3920

Fax

(616) 534-0801

NPI assigned

Sep 13, 2006

Last updated

Feb 3, 2010By 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 1

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.

• Martin J Faasse DPM, PC

  • Podiatrist
  • Grandville, MI
  • NPI 1851563233
  Authorized official Same address or phone
• Grandville Foot and Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Grandville, MI
  • NPI 1114580339
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1558466995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "49468",
            "telephone_number": "616-534-3920",
            "fax_number": "616-534-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 FAIRLANES SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-534-3920",
            "fax_number": "616-534-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAASSE",
        "first_name": "MARTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "MF000943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421894",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "5415000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mariele Ann Feldpausch
• William Fisher, D.C.
• Jackalynn Kay Fix
• Kimberly Fleming, RN

• Podiatrist in Grandville, MI
• Providers in Grandville, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.