Individual provider Active NPI

William John Cottrell III, D.P.M.

  • Podiatrist
  • Saginaw, MI
National Provider Identifier
1649584012
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
L2458549 Issued in MI
Practice address
33 White Tail Creek Rd
Suite 4
Saginaw, MI 48638-5895
Phone
(989) 752-8189
NPI assigned
Jul 28, 2010
Last updated
Dec 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X L2458549 MI Primary

Addresses

Primary practice location

33 White Tail Creek Rd
Suite 4
Saginaw, MI 48638-5895

Mailing address

33 White Tail Creek Rd
Suite 4
Saginaw, MI 48638-5895
Phone (989) 752-8189

Other identifiers 1

IdentifierTypeStateIssuer
P34620019OtherMIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130117000408 MI Practitioner - Podiatry 7315190600 Reassigns benefits to 2 organizations
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2458549MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Investments CurrentSince Nov 1, 2024 Accepting new patients
Katranji Reconstructive Surgery Institute, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Andrew H Cohen DPM PC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Michigan Comprehensive Professional Counseling Services PC PastSince Jan 7, 2019 Accepting new patients
Malcolm B Pike DPM Past Accepting new patients
AMC Enterprises Inc PastSince Dec 1, 2025 Accepting new patients

Locations

1501 S Center Rd
Bldg A
Burton, MI 48509
Phone (810) 715-7746

2111 Merritt Rd
Ste 202
East Lansing, MI 48823
Phone (517) 332-4263

4224 State St
Saginaw, MI 48603
Phone (989) 752-8189

1565 W Big Beaver Rd
Bldg F
Troy, MI 48084
Phone (248) 649-1975

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1649584012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WHITE TAIL CREEK RD",
            "address_2": "SUITE 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385895",
            "telephone_number": "989-752-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITE TAIL CREEK RD",
            "address_2": "SUITE 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385895",
            "telephone_number": "989-752-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "L2458549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P34620019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.