Individual provider Active NPI

Rosemarie Jack Caillier, DPM

  • Podiatrist
  • Tuscaloosa, AL
National Provider Identifier
1295740785
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
313 Issued in AL
Practice address
1800 McFarland Blvd N
Suite 220
Tuscaloosa, AL 35406-2114
Phone
(205) 409-0175
Fax
(205) 764-5937
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPMPD227R LA
Podiatrist 213E00000X 313 AL Primary

Addresses

Primary practice location

1800 McFarland Blvd N
Suite 220
Tuscaloosa, AL 35406-2114

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
1560430MedicaidLA
P00044550OtherRR MCR
1021488062OtherALMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20141031002129 AL Practitioner - Podiatry 3274592894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4124 Watermelon Rd
Suite a
Northport, AL 35473-5252
Phone (205) 409-0175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue88
Removal of nail tissue624
Removal or shaving of skin growth333
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
313ALMDPodiatrist
DPMPD227RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemarie Caillier, DPM, PC Podiatrist CurrentSince Apr 16, 2015 Accepting new patients
Rosemarie Jack Caillier,DPM Podiatrist Past Accepting new patients

Locations

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

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

1800 McFarland Blvd N
Ste 220
Tuscaloosa, AL 35406
Phone (205) 409-0175

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1295740785",
    "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": "1800 MCFARLAND BLVD N",
            "address_2": "SUITE 220",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062114",
            "telephone_number": "205-409-0175",
            "fax_number": "205-764-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAILLIER",
        "first_name": "ROSEMARIE",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "DPMPD227R",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1560430",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00044550",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "1021488062",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.