HOUGHTON LAKE FOOT CLINIC
NPI 1780661322
Podiatrist in Houghton Lake, MI

Active since December 24, 2005
3179 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629(989) 366-8332 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Houghton Lake Foot Clinic NPPES

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

HOUGHTON LAKE FOOT CLINIC (NPI 1780661322) is a healthcare organization registered as a podiatrist in Houghton Lake, Michigan and active in the NPI registry since December 2005. The organization lists Timothy St John, President, as its authorized official.

NPPES Registry Identity

NPI1780661322
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameTIMOTHY C ST. JOHN II
Location Address3179 W HOUGHTON LAKE DRHoughton Lake, MI 48629-9256
Mailing Address4310 Leonard St Nw, Suite 103Walker, MI 49534-8447 · (616) 453-6329 · Fax (616) 453-1725
Organization SubpartNo
Authorized OfficialTimothy St JohnPresident · (989) 366-8332
Enumeration DateDecember 24, 2005
Last NPPES UpdateJanuary 4, 2010
NPI 1780661322 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.

3179 W HOUGHTON LAKE DR, Houghton Lake, MI 48629

Other Names 1

Doing Business AsHoughton Lake Foot Clinic

Other Identifiers 5

Medicaid3119585MI
Medicare ID-Type Unspecified5725001MI
Medicare NSC1122290001MI
Medicare PIN5725001MI
Medicare UPINU08311MI

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.

Podiatrist
3179 W HOUGHTON LAKE DR
HOUGHTON LAKE, MI 48629

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780661322, enumerated as an "organization" on December 24, 2005.

The provider is located at 3179 W HOUGHTON LAKE DR HOUGHTON LAKE, MI 48629 and the phone number is (989) 366-8332.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.