Active NPI
Conway McLean DPM PC
- Podiatrist
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- CM002555
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Conway T McLean, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM002555 | Other | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Marquette, MI
- NPI 1215085790
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.