Royalton Foot & Ankle Associates PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

CO001158 Issued in MI

Legal business name

ROYALTON FOOT & ANKLE ASSOCIATES PC

Practice address

4035 Hollywood Rd
Saint Joseph, MI 49085-9156

Phone

(269) 428-2440

Fax

(269) 428-0980

NPI assigned

Jun 20, 2006

Last updated

Nov 27, 2023By 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

Mrs. Pattie S Allred

Title

Billing Specialist

Phone

(269) 428-2440

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Roylaton Foot Ankle a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Royalton Foot and Ankle Assoc

  • Durable Medical Equipment & Medical Supplies
  • Saint Joseph, MI
  • NPI 1366587354
  NPD tax ID
• Royalton Foot and Ankle Assoc

  • Durable Medical Equipment & Medical Supplies
  • Saint Joseph, MI
  • NPI 1629113618
  NPD tax ID

Locations

Practitioners 4

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.

• David Ralph Halstead, DPM

  • Podiatrist
  • Saint Joseph, MI
  • NPI 1407843469
  Medicare reassignment Care Compare group NPD
• Craig Dennis Okonski, DPM

  • Podiatrist
  • Saint Joseph, MI
  • NPI 1144210881
  Medicare reassignment Care Compare group NPD
• Krista Kotzeva, D.P.M.

  • Podiatrist
  • Southfield, MI
  • NPI 1730749961
  Medicare reassignment NPD
• Christopher H Faris, DPM

  • Podiatrist
  • Niles, MI
  • NPI 1104931252
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1578509683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859156",
            "telephone_number": "269-428-2440",
            "fax_number": "269-428-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859156",
            "telephone_number": "269-428-2440",
            "fax_number": "269-428-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTON FOOT & ANKLE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "269-428-2440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "CO001158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "480A16098",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1366587354",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Ryan Rosenbaum, DPT
• Rebekah Rosenbaum
• Cassie Jane Ross, BCBA
• Erica Ross, LCSW, LMSW
• Michael Justin Rowe, D.C.
• Royalton Foot and Ankle Assoc
• Royalton Foot and Ankle Assoc
• Royalton Manor, LLC
• Katherine L Rozek, PA
• Marek Rozynek, MD

• Foot & Ankle Surgery Podiatrist in Saint Joseph, MI
• Providers in Saint Joseph, 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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.