NPIMap

Organization Active NPI

Advanas Foot & Ankle Specialists PLC

  • Podiatric Clinic/Center
  • Sturgis, MI
National Provider Identifier
1750429288
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
ADVANAS FOOT & ANKLE SPECIALISTS PLC
Practice address
102 S Lakeview Avenue
Sturgis, MI 49091
Phone
(269) 651-2320
Fax
(269) 659-4704
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Trevor R Neal, DPMNPI 1255319059
Title
Physician Owner
Phone
(269) 651-2320

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
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

102 S Lakeview Avenue
Sturgis, MI 49091

Mailing address

PO Box 730
Sturgis, MI 49091-0730
Phone (269) 651-2320

Other names 1

  • Sturgis Foot and Ankle Clinic PLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070710000438 MI Part B Supplier - Clinic/Group Practice 6103926944 Receives reassigned benefits from 5 practitioners
Practice locations: Paw Paw, MI; Sturgis, MI; Portage, MI; Coldwater, MI
O20090402000608 IN Part B Supplier - Clinic/Group Practice 6103926944 Receives reassigned benefits from 2 practitioners
Practice locations: Angola, IN
O20140430002265 MI DME Supplier - Physician - Podiatry 6103926944 Practice locations: Sturgis, MI

National Provider Directory

National Provider Directory
Tax ID family
Advanas Foot Ankle Specialists PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3250 Intertech Dr
Ste B
Angola, IN 46703
Phone (260) 347-2833

300 E Chicago St
Ste 2
Coldwater, MI 49036
Phone (269) 651-2320

102 S Lakeview Ave
#730
Sturgis, MI 49091

102 S Lakeview Ave
Sturgis, MI 49091
Phone (269) 651-2320

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1750429288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490910730",
            "telephone_number": "269-651-2320",
            "fax_number": "269-659-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S LAKEVIEW AVENUE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "49091",
            "telephone_number": "269-651-2320",
            "fax_number": "269-659-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANAS FOOT & ANKLE SPECIALISTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "269-651-2320",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sturgis Foot and Ankle Clinic PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sturgis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.

Verify at the official NPI Registry.