Organization Active NPI

Grandview Foot and Ankle PC

  • Podiatrist
  • Greenville, MI
National Provider Identifier
1891832598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SU001970 Issued in MI
Legal business name
GRANDVIEW FOOT AND ANKLE PC
Practice address
1014 E Washington St
Greenville, MI 48838-2463
Phone
(616) 754-7440
Fax
(616) 754-0885
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stacy Aaron Uebele, DPMNPI 1063435659
Title
Podiatrist
Phone
(269) 948-9155

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SU001970 MI Primary

Addresses

Primary practice location

1014 E Washington St
Greenville, MI 48838-2463

Mailing address

PO Box 362
Hastings, MI 49058-0362
Phone (269) 948-9155

Other identifiers 1

IdentifierTypeStateIssuer
4710193MedicaidMI

Other names 1

  • Stacy A Uebele DPM Doing business as

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891832598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490580362",
            "telephone_number": "269-948-9155",
            "fax_number": "269-948-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382463",
            "telephone_number": "616-754-7440",
            "fax_number": "616-754-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UEBELE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "269-948-9155",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "SU001970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4710193",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacy A Uebele DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.