Active NPI
Grand Rapids Foot & Ankles PC
- Podiatrist
- Hastings, MI
National Provider Identifier
1770540957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001839
- Legal business name
- GRAND RAPIDS FOOT & ANKLES PC
- Practice address
- 221 W Apple St
Hastings, MI 49058-1810 - Phone
- (269) 945-2606
- Fax
- (269) 945-5122
- NPI assigned
- Apr 29, 2006
- 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
- Steven F Challa, DPM
- Title
- Physician
- Phone
- (269) 945-2606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001839 | MI | Primary |
Addresses
Primary practice location
221 W Apple St
Hastings, MI 49058-1810
Mailing address
4310 Leonard St NW
Suite 103
Walker, MI 49534-8447
Phone (616) 453-6329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3516431 | Medicaid | MI |
Other names 1
- Hastings Family Foot Care
National Provider Directory
National Provider DirectoryLocations
725 Alger St SE
Grand Rapids, MI 49507
Phone (616) 245-5944
221 W Apple St
Hastings, MI 49058
Phone (269) 945-2606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Wyoming, MI
- NPI 1346356219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235520000000",
"number": "1770540957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 LEONARD ST NW",
"address_2": "SUITE 103",
"city": "WALKER",
"state": "MI",
"postal_code": "495348447",
"telephone_number": "616-453-6329",
"fax_number": "616-453-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W APPLE ST",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581810",
"telephone_number": "269-945-2606",
"fax_number": "269-945-5122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND RAPIDS FOOT & ANKLES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-29",
"last_updated": "2009-02-25",
"status": "A",
"authorized_official_last_name": "CHALLA",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "269-945-2606",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3516431",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hastings Family Foot Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.