Stanley C. Rheaume, DPM, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

417 Issued in CO

Legal business name

STANLEY C. RHEAUME, DPM, PC

Doing business as

Podiatry Associates

Practice address

1513 Moore Ave
Pueblo, CO 81005-2346

Phone

(719) 564-2391

Fax

(719) 564-2393

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Paul Rheaume, DPMNPI 1881638070

Title

President

Phone

(719) 564-2391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Podiatry Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Gordon Paul Rheaume, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pueblo, CO
  • NPI 1881638070
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1699780361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 MOORE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052346",
            "telephone_number": "719-564-2391",
            "fax_number": "719-564-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 MOORE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052346",
            "telephone_number": "719-564-2391",
            "fax_number": "719-564-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY C. RHEAUME, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "RHEAUME",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-564-2391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84655241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Stadterman, PA
• John David Stageberg, M.D.
• Jenna Mae Stamey, M.D.
• Ericka Standiford
• Devin Leah Staniar, PA
• Diane Clare Stapleton, L.P.C.
• Kenzie L Stapleton
• Star Rehab Therapy LLC
• Christopher Jon Stark
• State of Colorado (Colorado Mental Health Institute Pueblo)

• Foot & Ankle Surgery Podiatrist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.