Rockingham Foot & Ankle Associates

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

557 Issued in NC

Legal business name

ROCKINGHAM FOOT & ANKLE ASSOCIATES

Practice address

307 S Main St
Reidsville, NC 27320-3815

Phone

(336) 342-5701

Fax

(336) 342-1373

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Ivan McKinney, D.P.M.NPI 1245266089

Title

Owner

Phone

(336) 342-5701

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, VA3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rockingham Foot & Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • Danville, VA
  • NPI 1952722910

  6002045234

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rockingham Foot & Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • Danville, VA
  • NPI 1952722910

  O20140226001352

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Ivan McKinney, DPM

  • Foot & Ankle Surgery Podiatrist
  • Reidsville, NC
  • NPI 1245266089
  Medicare reassignment NPD Authorized official
• Prayashkumar Patel, DPM

  • Podiatrist
  • Durham, NC
  • NPI 1881019313
  Medicare reassignment NPD
• Robert Alan Klein, DPM

  • Foot Surgery Podiatrist
  • Eden, NC
  • NPI 1205975133
  NPD (past)

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1972930725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203815",
            "telephone_number": "336-342-5701",
            "fax_number": "336-342-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203815",
            "telephone_number": "336-342-5701",
            "fax_number": "336-342-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM FOOT & ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-342-5701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972930725",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DU9433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockingham County Finance Office
• Rockingham County Finance Office
• Rockingham County Finance Office
• Rockingham County Schools Day Treatment Program
• Rockingham Family Health, Psychological & Counseling Center, PLLC
• Rockingham Medical & Kidney Care,PLLC
• Rockingham Opportunities Corp
• Rockingham Opportunities Corp
• Rockingham Opportunities Corp
• Rockingham Opportunities Corp

• Foot & Ankle Surgery Podiatrist in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.