Advanced Foot and Ankle Associates, PC
Organization Active NPI Podiatrist · Wyoming, MI
NPI 1689729329 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1689729329
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- ADVANCED FOOT AND ANKLE ASSOCIATES, PC
- Practice address
- 1621 44TH St SW
Suite 500
Wyoming, MI 49509-7200 - Phone
- (616) 538-4442
- Fax
- (616) 538-4843
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Benjamin Hartger, DPM
- Title
- Owner
- Phone
- (616) 690-0926
Practitioners 5
-
Benjamin Hartger, DPM
-
Amanda Mendoza, PA
-
James E Dewitt, DPM
-
Daniel K Koschtial, DPM
-
Walter C Rottschafer, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070710000213 | MI | Part B Supplier - Clinic/Group Practice | 0941300768 |
Receives reassigned benefits from 3 practitioners Practice locations: Wyoming, MI |
| O20100930027760 | MI | DME Supplier - Physician - Podiatry | 0941300768 | Practice locations: Wyoming, MI |
National Provider Directory
Locations
1621 44th St SW
Ste 500
Wyoming, MI 49509
Phone (616) 538-4442
300 S State St
Ste 3
Zeeland, MI 49464
Phone (616) 344-6630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes | ||
| Sports Medicine Podiatrist |
213ES0000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | |||
| Foot Surgery Podiatrist |
213ES0131X |
Addresses
Primary practice location
1621 44TH St SW
Suite 500
Wyoming, MI 49509-7200
Mailing address
1621 44TH St SW
Suite 500
Wyoming, MI 49509-7200
Phone (616) 538-4442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104347178 | Other | MI | BENJAMIN HARTGER DPM |
Other names
- Advanced Foot Ankle and Wound
- Advanced Foot and Ankle Associates, PC
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.