Cedar Valley Podiatry, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CEDAR VALLEY PODIATRY, PC

Practice address

4508 Chadwick Rd
Cedar Falls, IA 50613-7958

Phone

(319) 277-4508

Fax

(319) 277-8908

NPI assigned

Jul 3, 2006

Last updated

Feb 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxanne Masteller

Title

Office Manager

Phone

(319) 277-4508

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Bernard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterloo, IA
  • NPI 1265094239
  Medicare reassignment Care Compare group NPD
• Charles D Cibula, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Cedar Falls, IA
  • NPI 1750590246
  Medicare reassignment Care Compare group NPD
• Philip J Morreale, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Falls, IA
  • NPI 1104810928
  Medicare reassignment Care Compare group NPD
• Nicholas Richard Schmerbach, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Falls, IA
  • NPI 1598043754
  Medicare reassignment Care Compare group NPD
• Kara Franzen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dubuque, IA
  • NPI 1780068114
  Medicare reassignment NPD
• Kelsey Mae Sukovaty, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterloo, IA
  • NPI 1700308095
  Medicare reassignment NPD
• Bryan Mathew Trout, D.P.M., FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Ankeny, IA
  • NPI 1083603278
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1932139243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137958",
            "telephone_number": "319-277-4508",
            "fax_number": "319-277-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137958",
            "telephone_number": "319-277-4508",
            "fax_number": "319-277-8908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 1st St E",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "IA",
            "postal_code": "506443155",
            "country_code": "US",
            "telephone_number": "319-332-0950",
            "fax_number": "319-277-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 11th St",
            "address_purpose": "LOCATION",
            "city": "Charles City",
            "state": "IA",
            "postal_code": "506163468",
            "country_code": "US",
            "telephone_number": "641-228-5578",
            "fax_number": "319-277-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 8th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Oelwein",
            "state": "IA",
            "postal_code": "506622447",
            "country_code": "US",
            "telephone_number": "319-283-6389",
            "fax_number": "319-277-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Sumner",
            "state": "IA",
            "postal_code": "506741203",
            "country_code": "US",
            "telephone_number": "563-578-8276",
            "fax_number": "319-277-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR VALLEY PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "MASTELLER",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-277-4508"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "I7692",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469726",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar Valley Dental Associates PC
• Cedar Valley Medical Specialists PC
• Cedar Valley Medical Specialists, PC
• Cedar Valley Medical Specialists, PC
• Cedar Valley Pediatric Dentistry, PC
• Cedar Valley Recovery Services Inc
• Ronald G Cervetti, DPM
• Chad Mohammad Therapy LLC
• Chelsea Chandler
• Ivee Jae Chandler, O.T.

• Podiatrist in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.