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TIMOTHY ST JOHN DPM
NPI 1871570416
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: August 02, 2026.

About Timothy St John Dpm NPPES

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

TIMOTHY ST JOHN DPM (NPI 1871570416) is an individual podiatrist in Houghton Lake, Michigan, licensed in Michigan (TS001531) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1871570416
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTIMOTHY ST JOHNCredential: DPM
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
Phone(989) 366-8332
Sole ProprietorYes
Enumeration DateDecember 24, 2005
Last NPPES UpdateJanuary 4, 2010
✔ NPI 1871570416 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 · TS001531
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
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Other Identifiers 4

Medicare UPINU08311MI
Medicare NSC1122290001MI
Medicare ID-Type Unspecified5725001MI
Medicaid3119585MI

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%40 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

TIMOTHY C ST. JOHN II
Podiatrist
3179 W HOUGHTON LAKE DR
HOUGHTON LAKE, MI 48629
Roscommon County (989) 366-8332

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 Timothy St John's NPI number?

The NPI number for Timothy St John is 1871570416. It was assigned to this individual provider in the NPPES registry on December 24, 2005.

Where is Timothy St John located?

Timothy St John practices at 3179 W Houghton Lake Dr, Houghton Lake, MI 48629. The listed phone number is (989) 366-8332.

What is Timothy St John'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 Timothy St John was last updated on January 4, 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.