Organization Active NPI

Conway McLean DPM PC

  • Podiatrist
  • Marquette, MI
National Provider Identifier
1932526993
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
CM002555 Issued in MI
Legal business name
CONWAY MCLEAN DPM PC
Practice address
700 W Washington St Ste B
Marquette, MI 49855-4164
Phone
(906) 225-7707
Fax
(906) 225-7710
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Conway T McLean, DPMNPI 1215085790
Title
Physician / Owner
Phone
(906) 225-7707

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X CM002555 MI Primary
Podiatric Clinic/Center 261QP1100X
Durable Medical Equipment & Medical Supplies 332B00000X CM002555 MI

Addresses

Primary practice location

700 W Washington St Ste B
Marquette, MI 49855-4164

Mailing address

700 W Washington St Ste B
Marquette, MI 49855-4164
Phone (906) 225-7707

Other practice location 1

1323 Ludington St
Escanaba, MI 49829-2845
Phone (906) 225-7707

Other identifiers 1

IdentifierTypeStateIssuer
CM002555OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161022000227 MI DME Supplier - Physician - Podiatry 8022396233 Practice locations: Marquette, MI
O20170216001481 MI Part B Supplier - Clinic/Group Practice 8022396233 Receives reassigned benefits from 1 practitioner
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

1414 W Fair Ave
Ste 215
Marquette, MI 49855
Phone (906) 225-3964

700 W Washington St
Ste B
Marquette, MI 49855
Phone (906) 225-5585

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1932526993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W WASHINGTON ST STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554164",
            "telephone_number": "906-225-7707",
            "fax_number": "906-225-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W WASHINGTON ST STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554164",
            "telephone_number": "906-225-7707",
            "fax_number": "906-225-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 Ludington St",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498292845",
            "country_code": "US",
            "telephone_number": "906-225-7707",
            "fax_number": "906-225-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONWAY MCLEAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2023-09-06",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "CONWAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "906-225-7707",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "CM002555",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "CM002555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CM002555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.