NPIMap

Organization Active NPI

Foot & Ankle Specialists of West Michigan P L L C

  • Foot & Ankle Surgery Podiatrist
  • Carson City, MI
National Provider Identifier
1639907165
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
Practice address
102 S 3Rd St Ste 400
Carson City, MI 48811-5115
Phone
(989) 584-3916
Fax
(847) 390-9345
NPI assigned
Jul 25, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Lowell Scott Weil, DPMNPI 1942208558
Title
Executive Chairman
Phone
(847) 390-7666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Podiatrist 213E00000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

102 S 3Rd St Ste 400
Carson City, MI 48811-5115

Mailing address

2144 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6117
Phone (616) 281-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250714000124 MI DME Supplier - Physician - Podiatry 2769475441 Practice locations: Carson City, MI

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Spec of10 organizations share this tax ID, including this one
Part of
Foot and Ankle Spec of

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

5175 Plainfield Ave NE
Grand Rapids, MI 49525
Phone (616) 453-0294

6050 Northland Dr NE
Ste 180
Rockford, MI 49341
Phone (616) 363-9833

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1639907165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466117",
            "telephone_number": "616-281-0666",
            "fax_number": "224-220-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 3RD ST STE 400",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488115115",
            "telephone_number": "989-584-3916",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE CHAIRMAN",
        "authorized_official_telephone_number": "847-390-7666",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.