Mid-Michigan Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MID-MICHIGAN PODIATRY PLLC

Practice address

1500 Watertower PL Ste 300
East Lansing, MI 48823-8049

Phone

(517) 351-7640

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Jeremy HyrczykNPI 1154698116

Title

Owner

Phone

(517) 351-7640

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Michael Hyrczyk, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1154698116

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1912620329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERTOWER PL STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238049",
            "telephone_number": "517-351-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERTOWER PL STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238049",
            "telephone_number": "517-351-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "HYRCZYK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-351-7640"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Michigan Retina PLC
• Mid Michigan Surgeons PC
• Mid Michigan Therapy Group
• Mid South Substance Abuse Commission
• Mid-Michigan Home Care Agency LLC
• Shannon Migendt
• Kelsey Grace Militzer
• Jennifer Millbauer, LLC
• Miller Home Care Services Inc.
• Kenneth Scott Miller, LMSW

• Podiatrist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.