Robert S. Wane, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 1141 Issued in FL

Practice address

9030 W Fort Island TRL
Suite #7
Crystal River, FL 34429-2412

Phone

(352) 795-2142

Fax

(352) 795-3044

NPI assigned

Jan 22, 2008

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert S Wane DPM PA

  dba Crystal River Foot Care

  • Podiatrist
  • Crystal River, FL
  • NPI 1568541449
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1215114244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL",
            "address_2": "SUITE #7",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292412",
            "telephone_number": "352-795-2142",
            "fax_number": "352-795-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL",
            "address_2": "SUITE #7",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292412",
            "telephone_number": "352-795-2142",
            "fax_number": "352-795-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANE",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W4P LLC
• Walgreen Co (Walgreens #05338)
• Tonialatoya Wallace-Eley, MD
• Tammy K Wallen
• Barrett Jeffrey Wallis, MD
• Shahedra Ward-King
• Robin Warnberg, LCSW
• Sherry Lynne Weatherford, LMT
• Joshua N Weaver
• Ashia Laurel Wehbe

• Podiatrist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.

Verify at the official NPI Registry.