Organization Active NPI

Rosemarie Caillier, DPM, PC

  • Primary Podiatric Medicine Podiatrist
  • Tuscaloosa, AL
National Provider Identifier
1114308335
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
313 Issued in AL
Legal business name
ROSEMARIE CAILLIER, DPM, PC
Practice address
2002 McFarland Blvd E
Suite 207
Tuscaloosa, AL 35404-5856
Phone
(205) 409-0175
Fax
(205) 764-5800
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Dr. Rosemarie Jack Caillier, DPMNPI 1295740785
Title
Owner/President
Phone
(585) 203-7486

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 313 AL Primary

Addresses

Primary practice location

2002 McFarland Blvd E
Suite 207
Tuscaloosa, AL 35404-5856

Mailing address

3546 Brook Highland Dr
Tuscaloosa, AL 35406-2952
Phone (205) 409-0175

Other identifiers 1

IdentifierTypeStateIssuer
187474MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150929003467 AL Part B Supplier - Clinic/Group Practice 7719295419 Receives reassigned benefits from 1 practitioner
Practice locations: Northport, AL; Tuscaloosa, AL
O20160719002729 AL DME Supplier - Physician - Podiatry 7719295419 Practice locations: Northport, AL

National Provider Directory

National Provider Directory

Locations

4124 Watermelon Rd
Ste A
Northport, AL 35473
Phone (205) 409-0175

2002 McFarland Blvd E
Ste 207
Tuscaloosa, AL 35404
Phone (205) 409-0175

2002 McFarland Blvd E
Tuscaloosa, AL 35404
Phone (205) 409-0175

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": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1114308335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 BROOK HIGHLAND DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062952",
            "telephone_number": "205-409-0175",
            "fax_number": "205-764-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MCFARLAND BLVD E",
            "address_2": "SUITE 207",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045856",
            "telephone_number": "205-409-0175",
            "fax_number": "205-764-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARIE CAILLIER, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "CAILLIER",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "585-203-7486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AL",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187474",
            "state": "AL"
        }
    ],
    "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 Nov 15, 2016; 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.