Active NPI
Grandview Foot and Ankle PC
- Podiatrist
- Greenville, MI
National Provider Identifier
1891832598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SU001970
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Aaron Uebele, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4710193 | Medicaid | MI |
Other names 1
- Stacy A Uebele DPM
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hastings, MI
- NPI 1063435659
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.