NPIMap

Organization Active NPI

Podiatry Plus PC

  • Podiatrist
  • Lansing, MI
National Provider Identifier
1932297827
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
JM001350 Issued in MI
Legal business name
PODIATRY PLUS PC
Practice address
912 Centennial Way
Suite 380
Lansing, MI 48917-8246
Phone
(517) 321-9303
Fax
(517) 321-1730
NPI assigned
Oct 10, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Jay Owen Meyer, DPMNPI 1619976073
Title
President
Phone
(517) 349-6855

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LN001085 MI
Podiatrist 213E00000X JM001350 MI Primary

Addresses

Primary practice location

912 Centennial Way
Suite 380
Lansing, MI 48917-8246

Mailing address

912 Centennial Way
Suite 380
Lansing, MI 48917-8246
Phone (517) 321-3668

Other identifiers 2

IdentifierTypeStateIssuer
1743397MedicaidMI
1710897MedicaidMI

Other names 1

  • PODIATRY PLUS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100416000679 MI Part B Supplier - Clinic/Group Practice 1658408026 Receives reassigned benefits from 4 practitioners
Practice locations: Okemos, MI; Lansing, MI

National Provider Directory

National Provider Directory

Locations

912 Centennial Way
Ste 380
Lansing, MI 48917
Phone (517) 321-3668

Practitioners & affiliated clinicians

Practitioners 5

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1932297827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 CENTENNIAL WAY",
            "address_2": "SUITE 380",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178246",
            "telephone_number": "517-321-3668",
            "fax_number": "517-321-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 CENTENNIAL WAY",
            "address_2": "SUITE 380",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178246",
            "telephone_number": "517-321-9303",
            "fax_number": "517-321-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY PLUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-349-6855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "LN001085",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "JM001350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1743397",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710897",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PODIATRY PLUS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.