Organization Active NPI

Northwood Foot & Ankle Center PC

  • Durable Medical Equipment & Medical Supplies
  • Holland, MI
National Provider Identifier
1699092171
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5901001739 Issued in MI
Legal business name
NORTHWOOD FOOT & ANKLE CENTER PC
Practice address
388 Garden Ave
Suite 120
Holland, MI 49424-8998
Phone
(616) 393-8886
Fax
(616) 393-9975
NPI assigned
Apr 23, 2010
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Patricia S Guisinger, D.P.M.NPI 1104862796
Title
Owner/Physician
Phone
(616) 393-8886

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5901001739 MI Primary

Addresses

Primary practice location

388 Garden Ave
Suite 120
Holland, MI 49424-8998

Mailing address

388 Garden Ave
Suite 120
Holland, MI 49424-8998
Phone (616) 393-8886

Other identifiers 3

IdentifierTypeStateIssuer
0G00006OtherMIBLUE CROSS
3516763MedicaidMI
DP7405OtherMIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1699092171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE",
            "address_2": "SUITE 120",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248998",
            "telephone_number": "616-393-8886",
            "fax_number": "616-393-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE",
            "address_2": "SUITE 120",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248998",
            "telephone_number": "616-393-8886",
            "fax_number": "616-393-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "GUISINGER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "616-393-8886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901001739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0G00006",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3516763",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP7405",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.