River Valley Foot & Ankle Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

245 Issued in AR

Legal business name

RIVER VALLEY FOOT & ANKLE CLINIC

Practice address

703 W Main St
Russellville, AR 72801-3616

Phone

(479) 968-3338

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Roth, DPMNPI 1235314147

Title

Podiatrist

Phone

(479) 968-3338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Stephanie A. Roth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Russellville, AR
  • NPI 1235314147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1750663571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10424",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72812",
            "telephone_number": "479-647-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013616",
            "telephone_number": "479-968-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "479-968-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesiley Rideau, ATC
• Grace Rideout, CIT
• Tessa Riffell, LCSW
• Samantha Riggs
• River Valley ABA Services, Inc.
• River Valley Medical Wellness, LLC
• River Valley Mobile Radiology, Inc.
• River Valley Obstetrics and Gynecology, P. a.
• River Valley Occupational Health
• River Valley Pediatric Therapy

• Foot & Ankle Surgery Podiatrist in Russellville, AR
• Providers in Russellville, AR by specialty
• Foot & Ankle Surgery Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.