Roberson Foot Care, PA

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

518 Issued in NC

Legal business name

ROBERSON FOOT CARE, PA

Practice address

114 Avon Ave
Washington, NC 27889-3841

Phone

(252) 946-1181

Fax

(252) 946-2309

NPI assigned

Oct 2, 2008

Last updated

Aug 7, 2012By 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. Ainsley Roberson Rusevlyan, DPMNPI 1851518393

Title

Owner

Phone

(252) 946-1181

Specialties & licenses 1

Addresses

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.

• Ainsley Roberson Rusevlyan, DPM

  • Podiatrist
  • Washington, NC
  • NPI 1851518393
  Authorized official Same address or phone

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1669623260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893841",
            "telephone_number": "252-946-1181",
            "fax_number": "252-946-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893841",
            "telephone_number": "252-946-1181",
            "fax_number": "252-946-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERSON FOOT CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "RUSEVLYAN",
        "authorized_official_first_name": "AINSLEY",
        "authorized_official_middle_name": "ROBERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-946-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marzolf Richardson, F.N.P.
• Ridgewood Healthcare LLC (Ridgewood Living and Rehabilitation Center)
• Ridgewood RLC LLC
• Patrick M Riley, MD
• Jessica Rispoli
• Roberson Taxicab Service
• Donna Kay Roberson, LCASA
• Freddie Roberson, O.D.
• Savannah Sutherland Roberson, AGNP
• Robert E Lavictoire DC PC

• Primary Podiatric Medicine Podiatrist in Washington, NC
• Providers in Washington, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.