RPS Surgical LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004607 Issued in IL

Legal business name

RPS SURGICAL LTD

Practice address

1617 Temple LN
Rockford, IL 61112-1045

Phone

(815) 332-5222

Fax

(815) 332-5223

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph T Fanara, DPMNPI 1578658506

Title

Owner Physician

Phone

(815) 332-5222

Specialties & licenses 1

Addresses

Other names 1

• Joseph T Fanara DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Joseph Thomas Fanara, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rockford, IL
  • NPI 1578658506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1821481755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 TEMPLE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121045",
            "telephone_number": "815-332-5222",
            "fax_number": "815-332-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 TEMPLE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121045",
            "telephone_number": "815-332-5222",
            "fax_number": "815-332-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPS SURGICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "FANARA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "815-332-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph T Fanara DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Rowe, LCSW
• Bharati P. Roy, MD
• Vijay P Roy, M.D.
• Jeffrey S Royce, MD
• Maegan Rozinsky, NBC-HWC, FMCHC
• RSC Physical Therapy, LLC
• Gerardo Rubio
• Judith L Ruch
• John P. Rudzinski, MD
• Leigh A. Ruelo, PA-C

• Foot & Ankle Surgery Podiatrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.