Active NPI
Eugene D. Rohacz, D.P.M., P.C.
- Foot & Ankle Surgery Podiatrist
- Hillsdale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901001700
- Legal business name
- EUGENE D. ROHACZ, D.P.M., P.C.
- Practice address
- 241 W Carleton Rd
Hillsdale, MI 49242-5033 - Phone
- (517) 439-3338
- NPI assigned
- Jun 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene Dominic Rohacz, D.P.M.
- Title
- Owner
- Phone
- (517) 439-3338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901001700 | MI | Primary |
Addresses
Primary practice location
241 W Carleton Rd
Hillsdale, MI 49242-5033
Mailing address
241 W Carleton Rd
Hillsdale, MI 49242-5033
Phone (517) 439-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3054981 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Eugene D Rohacz DPM PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Hillsdale, MI
- NPI 1407161524
Locations
1518 W Michigan Ave
Jackson, MI 49202
Phone (517) 439-3338
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Foot & Ankle Surgery Podiatrist
- Jackson, MI
- NPI 1518201920
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Hillsdale, MI
- NPI 1174577787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489881600000",
"number": "1649534272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 W CARLETON RD",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492425033",
"telephone_number": "517-439-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 W CARLETON RD",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492425033",
"telephone_number": "517-439-3338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENE D. ROHACZ, D.P.M., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-28",
"last_updated": "2017-03-19",
"status": "A",
"authorized_official_last_name": "ROHACZ",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "DOMINIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-439-3338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901001700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3054981",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2017; 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.