Organization Active NPI

Riverside Podiatry, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Tuscaloosa, AL
National Provider Identifier
1003984576
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
192 Issued in AL
Legal business name
RIVERSIDE PODIATRY, P.C.
Practice address
535 Jack Warner Pkwy NE
Suite a-1
Tuscaloosa, AL 35404-5751
Phone
(205) 633-3606
Fax
(205) 633-3696
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert C Hope, DPMNPI 1942307970
Title
Owner
Phone
(205) 633-3606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 192 AL Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE
Suite a-1
Tuscaloosa, AL 35404-5751

Mailing address

535 Jack Warner Pkwy NE
Suite a-1
Tuscaloosa, AL 35404-5751
Phone (205) 633-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061205000637 AL Part B Supplier - Clinic/Group Practice 0143229989 Receives reassigned benefits from 1 practitioner
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

535 Jack Warner Pkwy NE
Ste A1
Tuscaloosa, AL 35404
Phone (205) 633-3606

535 Jack Warner Pkwy NE
Ste A
Tuscaloosa, AL 35404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11400/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1003984576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "SUITE A-1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-633-3606",
            "fax_number": "205-633-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "SUITE A-1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-633-3606",
            "fax_number": "205-633-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-633-3606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.