Roy O. Kroeker, DPM, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E14010 Issued in CA

Legal business name

ROY O. KROEKER, DPM, INC

Practice address

7081 N Marks Ave 104 PMB 358
PMB 358
Fresno, CA 93711-0232

Phone

(559) 432-5565

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roy O Kroeker, DPMNPI 1790829992

Title

President/Doctor

Phone

(559) 432-5565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy O Kroeker, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
  • NPI 1790829992
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1316251960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7081 N MARKS AVE 104",
            "address_2": "PMB 358",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110232",
            "telephone_number": "559-432-5565",
            "fax_number": "559-462-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7081 N MARKS AVE 104 PMB 358",
            "address_2": "PMB 358",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110232",
            "telephone_number": "559-432-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY O. KROEKER, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "KROEKER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "559-432-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E14010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Pearson Rowell, M.D.
• Rowi Valencia LLC (ROWI Fresno)
• Rowi Valencia LLC (ROWI Fresno Kids)
• Jessica Dyan Rowland
• Samantha Linn Rowland
• David E. Roy, PH.D.
• Royal Non Medical Transport LLC
• Roydon G F Steinke M D Inc
• Mary L Royer, MS
• Samantha Royer, OD

• Foot & Ankle Surgery Podiatrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.