Rural Podiatry, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

VV14519855 Issued in VA

Legal business name

RURAL PODIATRY, LLC

Practice address

7010 Mountain Rd
Halifax, VA 24558-2392

Phone

(434) 250-4862

Fax

(727) 803-6980

NPI assigned

Jul 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Patrick Travis, DPMNPI 1619165420

Title

Owner

Phone

(434) 250-4862

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Travis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Madison HTS, MI
  • NPI 1619165420
  Authorized official Same address or phone

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083137871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 MOUNTAIN RD",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582392",
            "telephone_number": "434-250-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 MOUNTAIN RD",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582392",
            "telephone_number": "434-250-4862",
            "fax_number": "727-803-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-250-4862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "VV14519855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Barnes Mitchell, MD
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• Patient Transport Systems, Inc
• Gabrielle Pecoraro
• Shannon N Scearce, DNP, FNP-C
• Harvey Abraham Smith
• Strategic Therapy Associates
• Herman Lee Thomas Jr., RN
• Bettina H Walker

• Foot & Ankle Surgery Podiatrist in Halifax, VA
• Providers in Halifax, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.