Rose Foot Clinic PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00688 Issued in IA

Legal business name

ROSE FOOT CLINIC PC

Practice address

202 E Briggs Ave
Fairfield, IA 52556-2925

Phone

(647) 472-9371

Fax

(641) 472-9589

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Richard Rose, D.P.M.NPI 1790775922

Title

President

Phone

(641) 472-9371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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.

• Richard Anthony Rose, D.P.M.

  • Podiatrist
  • Fairfield, IA
  • NPI 1790775922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1407014632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525560029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E BRIGGS AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562925",
            "telephone_number": "647-472-9371",
            "fax_number": "641-472-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-472-9371",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Hills Community Health Center Inc.
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• River Hills Community Health Center Inc.
• River Hills Community Health Center Inc.
• Arlene Roberts, LMSW
• Richard Anthony Rose, D.P.M.
• Roth & Norton Family Dentistry
• Alex James Roth, DDS
• Gary D Roth, D.D.S.
• Russell England MD PLLC

• Podiatrist in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.