Organization Active NPI

Walter C Rottschafer DPM PC

  • Podiatrist
  • Zeeland, MI
National Provider Identifier
1962489500
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WALTER C ROTTSCHAFER DPM PC
Practice address
300 S State St
Suite 3
Zeeland, MI 49464-1676
Phone
(616) 772-1070
NPI assigned
Dec 24, 2005
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Walter C Rottschafer, DPMNPI 1144207788
Title
President
Phone
(616) 772-1070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

300 S State St
Suite 3
Zeeland, MI 49464-1676

Mailing address

4310 Leonard St NW
Suite 103
Walker, MI 49534-8447
Phone (616) 453-6329

Other identifiers 1

IdentifierTypeStateIssuer
2105351MedicaidMI

National Provider Directory

National Provider Directory

Locations

300 S State St
Ste 3
Zeeland, MI 49464
Phone (616) 344-6630

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1962489500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LEONARD ST NW",
            "address_2": "SUITE 103",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495348447",
            "telephone_number": "616-453-6329",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STATE ST",
            "address_2": "SUITE 3",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641676",
            "telephone_number": "616-772-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER C ROTTSCHAFER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-24",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "ROTTSCHAFER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-772-1070",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.