NPIMap

Individual provider Active NPI

Heidi Elizabeth Monaghan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Midland, MI
National Provider Identifier
1992971212
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002307 Issued in MI
Practice address
111 E Wackerly St Ste a
Midland, MI 48642-7043
Phone
(989) 488-6355
NPI assigned
May 6, 2008
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002307 MI Primary

Addresses

Primary practice location

111 E Wackerly St Ste a
Midland, MI 48642-7043

Mailing address

111 E Wackerly St Ste a
Midland, MI 48642-7043
Phone (989) 488-6355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000872 MI Practitioner - Podiatry 0143353250 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of Mid-Michigan PCGroup PAC ID 4082047675, 3 clinicians
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians

Practice addresses (Care Compare)

111 E Wackerly St
Suite B
Midland, MI 48642-7043
Phone (989) 488-6355

2375 S M
Suite 30
West Branch, MI 48661-8711
Phone (989) 343-3790

4300 Campus Ridge Dr
Midland, MI 48640-6104
Phone (989) 839-1411

609 Quarter St
Gladwin, MI 48624-1941
Phone (989) 246-6490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue214
Removal of skin lesions1-10
Removal of nail tissue250
Removal or shaving of skin growth18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002307MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Jan 28, 2019 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jan 1, 2021 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Feb 1, 2023 Accepting new patients
Mymichigan Medical Group CurrentSince Jan 28, 2019 Accepting new patients
Foot & Ankle Specialists of Mid-Michigan PC Podiatrist CurrentSince Nov 5, 2019 Accepting new patients
Mymichigan Medical Group Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Feb 1, 2023 Accepting new patients
David W. Snider, DPM Podiatrist PastSince Jul 1, 2011 Accepting new patients

Locations

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

609 Quarter St
Ste 2
Gladwin, MI 48624
Phone (989) 246-6455

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

111 E Wackerly St
Ste A
Midland, MI 48642
Phone (989) 444-3209

111 E Wackerly St
Ste B
Midland, MI 48642
Phone (989) 486-9090

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4300 Campus Ridge Dr
Midland, MI 48640
Phone (989) 839-1411

4851 E Pickard St
Ste 2400
Mt Pleasant, MI 48858
Phone (855) 298-9888

2375 S M 30
West Branch, MI 48661
Phone (989) 343-3790

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1992971212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WACKERLY ST STE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427043",
            "telephone_number": "989-488-6355",
            "fax_number": "989-486-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WACKERLY ST STE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427043",
            "telephone_number": "989-488-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGHAN",
        "first_name": "HEIDI",
        "middle_name": "ELIZABETH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.