Organization Active NPI

Ronald Alan Reifschneider DPM

  • Podiatric Clinic/Center
  • Port Charlotte, FL
National Provider Identifier
1982881744
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
PO994 Issued in FL
Legal business name
RONALD ALAN REIFSCHNEIDER DPM
Practice address
4120 Tamiami TRL
Suite D 2
Port Charlotte, FL 33952-9200
Phone
(941) 743-3668
Fax
(941) 743-0098
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Ronald Alan Reifschneider, DPM
Title
Podiatrist
Phone
(941) 743-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X PO994 FL Primary

Addresses

Primary practice location

4120 Tamiami TRL
Suite D 2
Port Charlotte, FL 33952-9200

Mailing address

4120 Tamiami TRL
Suite D 2
Port Charlotte, FL 33952-9200
Phone (941) 743-3668

Other identifiers 1

IdentifierTypeStateIssuer
390088600MedicaidFL

National Provider Directory

National Provider Directory

Locations

4120 Tamiami Trl
Ste D2
Pt Charlotte, FL 33952
Phone (941) 625-9970

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1982881744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 TAMIAMI TRL",
            "address_2": "SUITE D 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529200",
            "telephone_number": "941-743-3668",
            "fax_number": "941-743-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 TAMIAMI TRL",
            "address_2": "SUITE D 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529200",
            "telephone_number": "941-743-3668",
            "fax_number": "941-743-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD ALAN REIFSCHNEIDER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "REIFSCHNEIDER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "941-743-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "PO994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390088600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.