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SOUTHWEST FOOT & ANKLE SPECIALISTS PC NPI 1417908633


NPI Information

NPI: 1417908633
Provider Name: SOUTHWEST FOOT & ANKLE SPECIALISTS, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
515 HOWARD ST
KALAMAZOO, MI
ZIP 49008
Phone: (269) 385-1000
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SOUTHWEST FOOT & ANKLE SPECIALISTS, PC is a foot and ankle surgery podiatrist in Kalamazoo, MI. SOUTHWEST FOOT & ANKLE SPECIALISTS, PC NPI is 1417908633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 HOWARD ST
KALAMAZOO, MI
ZIP 49008-917
Phone: (269) 385-1000
Fax: (269) 385-5120

The provider's authorized official is Tamara M Whitaker Bay .
The authorized official title is Owner and has the following contact phone number (269) 385-1000.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 9/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryTW002034MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OP15440MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2U99920MEDICARE UPINMICHIGAN
3480C912300OTHERMICHIGANBCBS
44841159MEDICAIDMICHIGAN
55446390001MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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