Grand Traverse Foot & Ankle Center P.C.
NPI 1396928297ActiveOrganization· Podiatrist· Traverse City, MI
Podiatrist in Traverse City, Michigan, registered in NPPES in December 2007. The authorized official on file is Theresa Marie Zywicki, Office Manager. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1396928297 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2007 |
| Last updated in NPPES | Jul 10, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 5901001664 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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