Organization Active NPI

Family Footcare of Mid-Michigan, P.C.

  • Podiatric Clinic/Center
  • Mount Pleasant, MI
National Provider Identifier
1851586515
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
5901001836 Issued in MI
Legal business name
FAMILY FOOTCARE OF MID-MICHIGAN, P.C.
Practice address
1205 S Mission St
Ste. 11
Mount Pleasant, MI 48858-3939
Phone
(989) 775-8500
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Connie L Bills, DPMNPI 1225021561
Title
Owner
Phone
(989) 775-8500

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 5901001836 MI Primary

Addresses

Primary practice location

1205 S Mission St
Ste. 11
Mount Pleasant, MI 48858-3939

Mailing address

1205 S Mission St
Ste. 11
Mount Pleasant, MI 48858-3939
Phone (989) 775-8500

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080530000061 MI Part B Supplier - Clinic/Group Practice 4880764067 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, MI
O20100930028637 MI DME Supplier - Physician - Podiatry 4880764067 Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1851586515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S MISSION ST",
            "address_2": "STE. 11",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583939",
            "telephone_number": "989-775-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S MISSION ST",
            "address_2": "STE. 11",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583939",
            "telephone_number": "989-775-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE OF MID-MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-775-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901001836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.