Individual provider Active NPI

Erik Rosenlof, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Jonesboro, AR
National Provider Identifier
1760613004
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
261 Issued in AR
Practice address
637 E Matthews Ave
Jonesboro, AR 72401-3145
Phone
(870) 931-3338
Fax
(870) 935-9084
NPI assigned
Aug 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006137 PA
Primary Podiatric Medicine Podiatrist 213EP1101X 18523 MT
Foot & Ankle Surgery Podiatrist 213ES0103X 18523 MT
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 261 AR Primary

Addresses

Primary practice location

637 E Matthews Ave
Jonesboro, AR 72401-3145

Mailing address

637 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 931-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924000653 AR Practitioner - Podiatry 4688829963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Care of Northeast Arkansas, PAGroup PAC ID 0143309153, 2 clinicians

Practice addresses (Care Compare)

801 Osler Dr
Suite D
Jonesboro, AR 72401-4329
Phone (870) 933-8900

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue486
Removal or shaving of skin growth199
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006137PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Care of Northeast Arkansas PA Single Specialty CurrentSince Jun 13, 2022 Accepting new patients
Ozarks Medical Center Single Specialty Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-8500

911 Osler Dr
Ste B
Jonesboro, AR 72401
Phone (870) 933-8900

801 Osler Dr
Ste D
Jonesboro, AR 72401
Phone (870) 336-3366

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1760613004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-931-3338",
            "fax_number": "870-935-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-931-3338",
            "fax_number": "870-935-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENLOF",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006137",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MT",
            "license": "18523",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "18523",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.