Active NPI
Foot & Ankle Specialists of Mid-Michigan PC
- Foot & Ankle Surgery Podiatrist
- Midland, MI
National Provider Identifier
1699319806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FOOT & ANKLE SPECIALISTS OF MID-MICHIGAN PC
- Practice address
- 111 E Wackerly St Ste B
Midland, MI 48642-7043 - Phone
- (989) 488-6355
- Fax
- (989) 486-9051
- NPI assigned
- Oct 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi E Monaghan, DPM
- Title
- Owner
- Phone
- (989) 488-6355
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
111 E Wackerly St Ste B
Midland, MI 48642-7043
Mailing address
111 E Wackerly St Ste B
Midland, MI 48642-7043
Phone (989) 488-6355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
111 E Wackerly St
Ste B
Midland, MI 48642
Phone (989) 486-9090
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Midland, MI
- NPI 1992971212
-
- Foot & Ankle Surgery Podiatrist
- Davison, MI
- NPI 1174780654
-
- Foot & Ankle Surgery Podiatrist
- Wyandotte, MI
- NPI 1700143997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1699319806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WACKERLY ST STE B",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427043",
"telephone_number": "989-488-6355",
"fax_number": "989-486-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E WACKERLY ST STE B",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427043",
"telephone_number": "989-488-6355",
"fax_number": "989-486-9051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE SPECIALISTS OF MID-MICHIGAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "MONAGHAN",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-488-6355",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.