Active NPI
Robert L Hume DPM
- Foot Surgery Podiatrist
- Eau Claire, WI
National Provider Identifier
1124202445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 436-025
- Legal business name
- ROBERT L HUME DPM
- Practice address
- 4212 Southtown Dr
Eau Claire, WI 54701-2635 - Phone
- (715) 832-1400
- Fax
- (715) 832-4187
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert L Hume, DPM
- Title
- Owner
- Phone
- (715) 832-1400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 436-025 | WI | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
4212 Southtown Dr
Eau Claire, WI 54701-2635
Mailing address
4212 Southtown Dr
Eau Claire, WI 54701-2635
Phone (715) 832-1400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41747700 | Medicaid | WI | |
| 43211400 | Medicaid | WI | |
| 791480582 | Other | WI | MEDICARE RAILROAD |
| 3396 | Other | WI | SECURITY HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
4212 Southtowne Dr
Eau Claire, WI 54701
Phone 71583214001108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1124202445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 SOUTHTOWN DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012635",
"telephone_number": "715-832-1400",
"fax_number": "715-832-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 SOUTHTOWN DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012635",
"telephone_number": "715-832-1400",
"fax_number": "715-832-4187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L HUME DPM",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "HUME",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-832-1400",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "WI",
"license": "436-025",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41747700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43211400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "791480582",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "3396",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.