Organization Active NPI

Karen M. Walsh, DPM, PC

Doing business as Marysville Foot & Ankle

  • Primary Podiatric Medicine Podiatrist
  • Marysville, MI
National Provider Identifier
1841236411
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
KW001963 Issued in MI
Legal business name
KAREN M. WALSH, DPM, PC
Doing business as
Marysville Foot & Ankle
Practice address
845 Michigan Ave
Marysville, MI 48040-1404
Phone
(810) 364-6614
Fax
(810) 364-6615
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Karen Marie Walsh, DPMNPI 1851343610
Title
Owner
Phone
(810) 364-6614

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X KW001963 MI Primary

Addresses

Primary practice location

845 Michigan Ave
Marysville, MI 48040-1404

Mailing address

845 Michigan Ave
Marysville, MI 48040-1404
Phone (810) 364-6614

Other identifiers 2

IdentifierTypeStateIssuer
5500985OtherMIBLUE CROSS BLUE SHIELD MI
4505540MedicaidMI

Other names 1

  • Marysville Foot & Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060623000184 MI Part B Supplier - Clinic/Group Practice 5092727693 Receives reassigned benefits from 1 practitioner
Practice locations: Marysville, MI

National Provider Directory

National Provider Directory

Locations

845 Michigan Ave
Marysville, MI 48040
Phone (810) 364-5050

1100 Michigan Ave
Ste D
Marysville, MI 48040
Phone (810) 364-6614

4737 24 Mile Rd
Ste 100
Shelby Township, MI 48316
Phone (248) 651-0008

Practitioners & affiliated clinicians

Practitioners 1

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1841236411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401404",
            "telephone_number": "810-364-6614",
            "fax_number": "810-364-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401404",
            "telephone_number": "810-364-6614",
            "fax_number": "810-364-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN M. WALSH, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-364-6614",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "KW001963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "5500985",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4505540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marysville Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.