Warsaw Foot and Ankle Center PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07000846 Issued in IN

Legal business name

WARSAW FOOT AND ANKLE CENTER PC

Practice address

2280 Provident CT Ste B
Warsaw, IN 46580-3284

Phone

(574) 269-9200

Fax

(574) 269-9658

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sean Micheal Rhodes, D.P.M.NPI 1225034028

Title

President/Owner

Phone

(574) 269-9200

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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.

• Sean Michael Rhodes, DPM

  • Primary Podiatric Medicine Podiatrist
  • Warsaw, IN
  • NPI 1225034028
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1881844488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 PROVIDENT CT STE B",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803284",
            "telephone_number": "574-269-9200",
            "fax_number": "574-269-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 PROVIDENT CT STE B",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803284",
            "telephone_number": "574-269-9200",
            "fax_number": "574-269-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSAW FOOT AND ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "574-269-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000846",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": "IN",
            "license": "07000846",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07000846",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "IN",
            "license": "07000846",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000846",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200158810B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Danielle Wallick, LSW, LAC
• Sydney Walters
• Nancy J Warren, LMHC
• Warsaw Al, LLC
• Warsaw Community Schools
• Warsaw Health System LLC
• Warsaw Health System LLC
• Warsaw Health System LLC
• Warsaw Health System LLC
• Warsaw Health System LLC

• Primary Podiatric Medicine Podiatrist in Warsaw, IN
• Providers in Warsaw, 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 Sep 19, 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.