Active NPI
Ross Eldon Biederman, D.P.M.
- Foot Surgery Podiatrist
- June Lake, CA
National Provider Identifier
1114211786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E2118
- Practice address
- 140 Wyoming Street
June Lake, CA 93529 - Phone
- (760) 648-1017
- NPI assigned
- Jun 1, 2011
- Last updated
- Jun 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E2118 | CA | Primary |
Addresses
Primary practice location
140 Wyoming Street
June Lake, CA 93529
Mailing address
140 Wyoming Street
June Lake, CA 93529
Phone (760) 648-1017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2118 | CA | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1114211786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WYOMING STREET",
"city": "JUNE LAKE",
"state": "CA",
"postal_code": "93529",
"telephone_number": "760-648-1017",
"fax_number": "760-648-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 WYOMING STREET",
"city": "JUNE LAKE",
"state": "CA",
"postal_code": "93529",
"telephone_number": "760-648-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEDERMAN",
"first_name": "ROSS",
"middle_name": "ELDON",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E2118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in June Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.