Organization Active NPI

Foot & Ankle Specialists of Bay City, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Bay City, MI
National Provider Identifier
1811578438
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE SPECIALISTS OF BAY CITY, PLLC
Doing business as
The Foot & Ankle Specialists of Bay City, PLLC
Practice address
3601 Wilder Rd
Bay City, MI 48706-2113
Phone
(989) 667-3668
Fax
(989) 667-3670
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Dr. Youssef Aoun, DPMNPI 1093121683
Title
Owner
Phone
(989) 667-3668

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3601 Wilder Rd
Bay City, MI 48706-2113

Mailing address

3601 Wilder Rd
Bay City, MI 48706-2113
Phone (989) 667-3668

Other names 1

  • The Foot & Ankle Specialists of Bay City, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210623001754 MI Part B Supplier - Clinic/Group Practice 6507267937 Receives reassigned benefits from 3 practitioners
Practice locations: Bay City, MI
O20210901003089 MI DME Supplier - Physician - Podiatry 6507267937 Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

150 Millwood St
Caro, MI 48723
Phone (989) 673-3338

Practitioners & affiliated clinicians

Practitioners 3

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": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1811578438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062113",
            "telephone_number": "989-667-3668",
            "fax_number": "989-667-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062113",
            "telephone_number": "989-667-3668",
            "fax_number": "989-667-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF BAY CITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "AOUN",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-667-3668",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "The Foot & Ankle Specialists of Bay City, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.