NPIMap

Organization Active NPI

Foot & Ankle Specialists of West Michigan P L L C

  • Durable Medical Equipment & Medical Supplies
  • Norton Shores, MI
National Provider Identifier
1841498920
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
Practice address
1450 East Farr Road
Norton Shores, MI 49444-9738
Phone
(231) 739-7606
Fax
(231) 830-9896
NPI assigned
Jul 10, 2007
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Lowell Weil Jr., DPM
Title
Executive Chairman
Phone
(847) 390-7666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Podiatrist 213E00000X

Addresses

Primary practice location

1450 East Farr Road
Norton Shores, MI 49444-9738

Mailing address

2144 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6117
Phone (616) 281-0666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930010686 MI DME Supplier - Physician - Podiatry 2769475441 Practice locations: Norton Shores, MI

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Spec of10 organizations share this tax ID, including this one
Part of
Foot and Ankle Spec of

Other organizations with this tax ID 9

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

Locations

1450 Farr Rd
Norton Shores, MI 49444
Phone (231) 739-7606

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1841498920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466117",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EAST FARR ROAD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449738",
            "telephone_number": "231-739-7606",
            "fax_number": "231-830-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "EXECUTIVE CHAIRMAN",
        "authorized_official_telephone_number": "847-390-7666",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.