Organization Active NPI

Rusty L. Cain Inc

  • Foot Surgery Podiatrist
  • Fairmont, WV
National Provider Identifier
1497980619
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00349 Issued in WV
Legal business name
RUSTY L. CAIN INC
Doing business as
Doctors Foot Center
Practice address
1228 Country Club Rd
Fairmont, WV 26554-2369
Phone
(304) 363-3338
Fax
(304) 363-3359
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Dr. Rusty L. Cain, DPM
Title
Owner/Practice Manager
Phone
(304) 363-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 00349 WV Primary

Addresses

Primary practice location

1228 Country Club Rd
Fairmont, WV 26554-2369

Mailing address

1228 Country Club Rd
Fairmont, WV 26554-2369
Phone (304) 363-3338

Other identifiers 1

IdentifierTypeStateIssuer
3810016602MedicaidWV

Other names 1

  • Doctors Foot Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1497980619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 COUNTRY CLUB RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542369",
            "telephone_number": "304-363-3338",
            "fax_number": "304-363-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 COUNTRY CLUB RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542369",
            "telephone_number": "304-363-3338",
            "fax_number": "304-363-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTY L. CAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "304-363-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WV",
            "license": "00349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016602",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.