Delta Foot Care, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

BG001798 Issued in MI

Legal business name

DELTA FOOT CARE, P.C.

Practice address

3802 W Kalamazoo St
Lansing, MI 48917-3653

Phone

(517) 485-7300

Fax

(517) 485-7301

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Spencer Goosen, DPMNPI 1679652283

Title

Owner

Phone

(517) 485-7300

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Brian Spencer Goosen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lansing, MI
  • NPI 1679652283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1568501062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 W KALAMAZOO ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173653",
            "telephone_number": "517-485-7300",
            "fax_number": "517-485-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 W KALAMAZOO ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173653",
            "telephone_number": "517-485-7300",
            "fax_number": "517-485-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA FOOT CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "GOOSEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-485-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "BG001798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SECONDARY PAYOR",
            "identifier": "0P00920",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "480B310270",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN ADVANTAGE",
            "identifier": "480B310270",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "17738",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MCLAREN",
            "identifier": "201749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Dell
• Patricia Lee Delong, MHS, OTR/L
• Gina Delp, DO
• Delta Charter Township
• Delta Chiropractic Center of Lansing
• Delta-Waverly Psychology and Counseling Associates, PLC
• Deltavision Optical
• Michael H Deluca, D.D.S.
• Alysha Demay, OTRL
• Jordan Francis Demchuk, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.