BLUE WATER PODIATRY PC
NPI 1447397138
Podiatrist in Bad Axe, MI

Active since January 31, 2007
1060 S VAN DYKE RD, SUITE 100, BAD AXE, MI 48413(989) 269-9575(989) 269-9576 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Water Podiatry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER PODIATRY PC (NPI 1447397138) is a healthcare organization registered as a podiatrist in Bad Axe, Michigan and active in the NPI registry since January 2007. The organization lists Thomas Ernst, Owner, as its authorized official.

NPPES Registry Identity

NPI1447397138
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBLUE WATER PODIATRY PC
Location Address1060 S VAN DYKE RD, SUITE 100Bad Axe, MI 48413-9631
Mailing Address5303 Shorewood DrFort Gratiot, MI 48059-3137 · (810) 385-2053
Fax(989) 269-9576
Organization SubpartNo
Authorized OfficialThomas ErnstOwner · (989) 269-9575
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 20, 2010
NPI 1447397138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MI · 59000955
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1060 S VAN DYKE RD, Bad Axe, MI 48413

Other Identifiers 3

Medicaid1958354MI
Medicare UPINT99302MI
Medicare PINP44880001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1060 S VAN DYKE RD
BAD AXE, MI 48413
Clinic/Center (Rural Health)
1060 S VAN DYKE RD
BAD AXE, MI 48413
Durable Medical Equipment & Medical Supplies
1060 S VAN DYKE RD
BAD AXE, MI 48413
Urology
1060 S VAN DYKE RD
BAD AXE, MI 48413
Pediatrics
1060 S VAN DYKE RD, SUITE 600
BAD AXE, MI 48413
Prosthetic/Orthotic Supplier
1060 S VAN DYKE RD
BAD AXE, MI 48413
Surgery
1060 S VAN DYKE RD
BAD AXE, MI 48413
Pediatrics
1060 S VAN DYKE RD, SUITE 600
BAD AXE, MI 48413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Podiatry PC's NPI number?

The NPI number for Blue Water Podiatry PC is 1447397138. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Blue Water Podiatry PC located?

Blue Water Podiatry PC is located at 1060 S Van Dyke Rd Suite 100, Bad Axe, MI 48413. The listed phone number is (989) 269-9575.

What is Blue Water Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Blue Water Podiatry PC was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.