Organization Active NPI

David R Hunter DPM PC

Doing business as Petoskey Foot Specialists

  • Foot & Ankle Surgery Podiatrist
  • Petoskey, MI
National Provider Identifier
1861400335
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DAVID R HUNTER DPM PC
Doing business as
Petoskey Foot Specialists
Practice address
2233 Mitchell Park Dr
Petoskey, MI 49770-9600
Phone
(231) 347-3440
Fax
(231) 347-4828
NPI assigned
Aug 3, 2006
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. David R Hunter, DPMNPI 1487642864
Title
Physician/Owner
Phone
(231) 347-3440

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 Podiatrist 213ES0103X MI Primary

Addresses

Primary practice location

2233 Mitchell Park Dr
Petoskey, MI 49770-9600

Mailing address

2233 Mitchell Park Dr
Petoskey, MI 49770-9600
Phone (231) 347-3440

Other identifiers 3

IdentifierTypeStateIssuer
480B445650OtherBCBSM
480B44565OtherBLUE CARE NETWORK
01057OtherMIPRIORITY

Other names 1

  • Petoskey Foot Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000415 MI Part B Supplier - Clinic/Group Practice 0840376265 Receives reassigned benefits from 2 practitioners
Practice locations: Petoskey, MI; Sault Sainte Marie, MI; St Ignace, MI; Newberry, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1861400335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 MITCHELL PARK DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-347-3440",
            "fax_number": "231-347-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 MITCHELL PARK DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-347-3440",
            "fax_number": "231-347-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R HUNTER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "231-347-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "480B445650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "480B44565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY",
            "identifier": "01057",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petoskey Foot Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.