Organization Active NPI

Eugene D. Rohacz, D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Hillsdale, MI
National Provider Identifier
1649534272
Registry record updated Mar 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001700 Issued in MI
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

Updated by the provider on Mar 19, 2017

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.NPI 1174577787
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3054981MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000589 MI Part B Supplier - Clinic/Group Practice 9931220134 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsdale, MI; Jackson, MI

National Provider Directory

National Provider Directory
Tax ID family
Eugene D Rohacz DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.