Active NPI
William Paul Roman Jr
- Foot & Ankle Surgery Podiatrist
- Valparaiso, IN
National Provider Identifier
1891973640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001033A
- Legal business name
- WILLIAM PAUL ROMAN JR
- Practice address
- 2308 N Roosevelt Rd
Valparaiso, IN 46383-2773 - Phone
- (219) 464-9588
- Fax
- (219) 462-4470
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Paul Roman Jr., D.P.M.
- Title
- Owner
- Phone
- (219) 464-9588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001033A | IN | Primary |
Addresses
Primary practice location
2308 N Roosevelt Rd
Valparaiso, IN 46383-2773
Mailing address
2308 N Roosevelt Rd
Valparaiso, IN 46383-2773
Phone (219) 464-9588
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200843560A | Medicaid | IN | |
| LICENSE | Other | IN | 07001033A |
| 016-005187 | Other | IL | LICENSE |
| 07001033B | Other | IN | CONTROLLED SUBSTANCE(CSR) |
Other names 1
- ROMAN FOOT AND ANKLE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369353600000",
"number": "1891973640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 N ROOSEVELT RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832773",
"telephone_number": "219-464-9588",
"fax_number": "219-462-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 N ROOSEVELT RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832773",
"telephone_number": "219-464-9588",
"fax_number": "219-462-4470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM PAUL ROMAN JR",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2013-05-24",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-464-9588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001033A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200843560A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "07001033A",
"identifier": "LICENSE",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "016-005187",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE(CSR)",
"identifier": "07001033B",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROMAN FOOT AND ANKLE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.