Richard W Rozelle, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901001069 Issued in MI

Practice address

5175 Plainfield Ave NE
Grand Rapids, MI 49525-1048

Phone

(616) 363-9833

Fax

(616) 363-9701

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1528094257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 KALAMAZOO AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084625",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251048",
            "telephone_number": "616-363-9833",
            "fax_number": "616-363-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELLE",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "1266510002",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3506847",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480026387",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Royer, MD
• Erin Rozek
• William J Rozell, DO
• Amy Bourne Rozelle, PT
• April Lynn Rozelle, CRNA
• Ashley Danelle Rozema, PA
• Ellie E Rozema
• Hannah Rozema, BS
• Jennifer Rozema
• Susanna Joy Rozema

• Foot & Ankle Surgery Podiatrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.