Crossroads Foot and Ankle Podiatry PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CROSSROADS FOOT AND ANKLE PODIATRY PC

Practice address

120 E 18TH St
Rochester, IN 46975-2632

Phone

(574) 223-6050

Fax

(574) 223-3057

NPI assigned

Dec 2, 2008

Last updated

May 1, 2012By 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. Laurence C Rogers, DPM

Title

Owner

Phone

(574) 223-6050

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1275788499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469750548",
            "telephone_number": "574-223-6050",
            "fax_number": "574-223-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 18TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469752632",
            "telephone_number": "574-223-6050",
            "fax_number": "574-223-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FOOT AND ANKLE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-223-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173510A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000091947",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M100060875",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0311390001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Everett Clymer III, LCSW
• Susan Coby, MSW
• Megan Elizabeth Cook, NP
• Randell J Coulter, D.O.
• August Cox, LMFTA
• Holly K Cumberland, ACNS-BC, CWCN
• Melanie R Darling
• David Barts DDS PC
• Colten Lee De Fluiter I
• Decisions Psychological Services PC

• Durable Medical Equipment & Medical Supplies in Rochester, IN
• Providers in Rochester, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.