James G Clay, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001439 Issued in MI

Practice address

669 Baldwin St
Jenison, MI 49428-7903

Phone

(616) 457-7171

Fax

(616) 457-1121

NPI assigned

Dec 22, 2005

Last updated

Jan 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jenison Podiatry PC

  • Podiatrist
  • Jenison, MI
  • NPI 1477530954
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1861479669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LEONARD ST NW",
            "address_2": "SUITE 103",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "49534",
            "telephone_number": "616-453-6329",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287903",
            "telephone_number": "616-457-7171",
            "fax_number": "616-457-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "JC001439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480006462",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340402",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Charboneau, PTA
• Aaliyah Cherry
• Breanna Chew, DDS, MS
• Clark & Vanoverloop DDS PLLC (Clark and VanOverloop Family Dentistry)
• Aaron Samuel Clark, D.D.S
• Troy J Clink, LMSW
• Margaret Cohen
• Compassionate Counseling and Practical Solutions, LLC
• Meghan Dubois Condit, D.D.S.
• Felicia Cook

• Podiatrist in Jenison, MI
• Providers in Jenison, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.