Robert S Wane DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1141 Issued in FL

Legal business name

ROBERT S WANE DPM PA

Doing business as

Crystal River Foot Care

Practice address

9030 West Fort Island Trail
Suite 7
Crystal River, FL 34429

Phone

(352) 795-2142

Fax

(352) 795-3044

NPI assigned

Nov 3, 2006

Last updated

Mar 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert S Wane, DPMNPI 1215114244

Title

Pres of PA

Phone

(352) 795-2142

Specialties & licenses 1

Addresses

Other names 1

• Crystal River Foot Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

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, and the practitioner matching its NPPES authorized official.

• Robert S. Wane, DPM

  • Podiatrist
  • Crystal River, FL
  • NPI 1215114244
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205625600000",
    "number": "1568541449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 WEST FORT ISLAND TRAIL",
            "address_2": "SUITE 7",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-795-2142",
            "fax_number": "352-795-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 WEST FORT ISLAND TRAIL",
            "address_2": "SUITE 7",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-795-2142",
            "fax_number": "352-795-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S WANE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-03-16",
        "status": "A",
        "authorized_official_last_name": "WANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRES OF PA",
        "authorized_official_telephone_number": "352-795-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal River Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James Michael Rooney
• Eric Joel Ross, DMD

• Podiatrist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.