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JENISON PODIATRY PC
NPI 1477530954
Podiatrist in Jenison, MI

Active since December 27, 2005
669 BALDWIN ST, JENISON, MI 49428(616) 457-7171(616) 457-1121 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenison Podiatry Pc NPPES

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

JENISON PODIATRY PC (NPI 1477530954) is a healthcare organization registered as a podiatrist in Jenison, Michigan and active in the NPI registry since December 2005. The organization lists Gene L Oosterhouse, Vice President, as its authorized official.

NPPES Registry Identity

NPI1477530954
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameJENISON PODIATRY PC
Location Address669 BALDWIN STJenison, MI 49428-7903
Mailing Address4310 Leonard St Nw, Suite 103Walker, MI 49534 · (616) 453-6329 · Fax (616) 453-1725
Phone(616) 457-7171
Fax(616) 457-1121
Organization SubpartNo
Authorized OfficialGene L OosterhouseVice President · (616) 457-7171
Enumeration DateDecember 27, 2005
Last NPPES UpdateFebruary 1, 2011
✔ NPI 1477530954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
669 BALDWIN ST, Jenison, MI 49428
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Other Identifiers 2

Medicare NSC0307890001MI
Medicare PIN0G01278

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

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

DR. JAMES G CLAY DPM
Podiatrist
669 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-7171

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 Jenison Podiatry PC's NPI number?

The NPI number for Jenison Podiatry PC is 1477530954. It was assigned to this organization in the NPPES registry on December 27, 2005.

Where is Jenison Podiatry PC located?

Jenison Podiatry PC is located at 669 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 457-7171.

What is Jenison 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 Jenison Podiatry PC was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.