Mobile Podiatrist, PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07001009A Issued in IN

Legal business name

MOBILE PODIATRIST, PC

Practice address

1558 Victoria CT
Greenwood, IN 46143-7884

Phone

(317) 697-6536

Fax

(317) 859-2923

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Irene Erica Roge, D.P.M.

Title

President

Phone

(317) 697-6536

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1861692402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 VICTORIA CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437884",
            "telephone_number": "317-697-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 VICTORIA CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437884",
            "telephone_number": "317-697-6536",
            "fax_number": "317-859-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "ROGE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-697-6536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001009A",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016-004848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0688",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE1825",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Miranda, NP
• Cara Aileen Misetic, PSY.D.
• Jeffrey Alan Mishler, D.D.S.
• Eileen Marie Misluk, LPC, LMHC
• Jillian Mitchell
• Anna R Modansky, PA
• Modern Eyes PC
• Lindsay Veronica Modjeski
• Mohan Genetic Lab LLC
• Mohammed Moid, NCTMB

• Primary Podiatric Medicine Podiatrist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.