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BLUE WATER PODIATRY PC
NPI 1760529705
Podiatrist in Port Huron, MI

Active since January 31, 2007
828 10TH AVE, PORT HURON, MI 48060(810) 982-4240(810) 982-2479 Get Directions Write a Review

NPPES record last updated: October 19, 2007. 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 1760529705) is a healthcare organization registered as a podiatrist in Port Huron, Michigan and active in the NPI registry since January 2007. The organization lists Thomas K Ernst, Owner, as its authorized official.

NPPES Registry Identity

NPI1760529705
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBLUE WATER PODIATRY PC
Location Address828 10TH AVEPort Huron, MI 48060-3640
Mailing Address5303 Shorewood DrFort Gratiot, MI 48059-3137 · (810) 385-2053
Phone(810) 982-4240
Fax(810) 982-2479
Organization SubpartNo
Authorized OfficialThomas K ErnstOwner · (810) 982-4240
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 19, 2007
✔ NPI 1760529705 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.
828 10TH AVE, Port Huron, MI 48060
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Other Identifiers 4

Medicaid1958336MI
Medicare UPINT99302MI
Medicare PINP44880001MI
Medicare NSC0423900001MI

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. THOMAS KEVIN ERNST DPM
Podiatrist (Foot & Ankle Surgery)
828 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 982-4240

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 1760529705. 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 828 10th Ave, Port Huron, MI 48060. The listed phone number is (810) 982-4240.

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 October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.