Organization Active NPI

John Throckmorton, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Lansing, MI
National Provider Identifier
1699887083
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000906 Issued in MI
Legal business name
JOHN THROCKMORTON, DPM PC
Practice address
3390 E Jolly Rd
Lansing, MI 48910-8547
Phone
(517) 882-8673
Fax
(517) 882-3935
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. John Throckmorton, DPM
Title
Owner
Phone
(517) 882-8673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901000906 MI Primary

Addresses

Primary practice location

3390 E Jolly Rd
Lansing, MI 48910-8547

Mailing address

3390 E Jolly Rd
Lansing, MI 48910-8547
Phone (517) 882-8673

Other identifiers 3

IdentifierTypeStateIssuer
200000005897OtherMIPHYSICIANS HEALTH PLAN
01007577OtherMIHEALTH PLUS
1002614OtherMIMCLAREN HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1699887083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108547",
            "telephone_number": "517-882-8673",
            "fax_number": "517-882-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108547",
            "telephone_number": "517-882-8673",
            "fax_number": "517-882-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN THROCKMORTON, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-882-8673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000005897",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01007577",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH",
            "identifier": "1002614",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.