INDIAN RIVER PODIATRY, PA (NPI# 1164443859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164443859 |
| Entity Type | Organization |
| Organization Name | INDIAN RIVER PODIATRY, PA |
| Practice Address |
1880 37th Street, Suite 4 Vero Beach FL 32960-4502 |
| Mailing Address |
Po Box 99 Vero Beach FL 32961-0099 |
| Practice Telephone | 7725690081 |
| Practice Fax Number | 7725690819 |
| Mailing Telephone | 7725690081 |
| Mailing Fax Number | 7725690819 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | MR. NICHOLAS WARD RUTLEDGE (OWNER) |
| Authorized Official Telephone | 7725690081 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P02624 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408996 | Indian River Podiatry, Pa | Podiatrist | 1515 Us Highway 1 Ste 204, Sebastian, FL 32958-1612 | 2020-02-05 |
| Street Address |
1880 37TH STREET, SUITE 4 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495172 | Nicholas Ward Rutledge | Podiatrist | 1880 37th Street, Suite 4, Vero Beach, FL 32960-4502 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1346571049 | Zacharia Facaros | Podiatrist | 1880 37th St Ste 4, Vero Beach, FL 32960-6594 | 2010-01-19 |
| 1407009459 | Michael Anthony Mazziotta II | Podiatrist | 1880 37th Street Suite 4, Vero Beach, FL 32960 | 2008-11-03 |
| 1386785426 | Michael R Hansen | Podiatrist | 1956 41st Ave Ste C, Vero Beach, FL 32960-2561 | 2007-02-10 |
| 1194710533 | Carl Ganio | Podiatrist | 611 17th St, Vero Beach, FL 32960-5518 | 2005-09-13 |
| 1962400713 | Amberly C Paradoa | Podiatrist | 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 | 2005-07-14 |
| 1366957839 | Patrick K Brueggeman Dpm LLC | Podiatrist | 5176 Formosa Cir, Vero Beach, FL 32967-7645 | 2017-12-06 |
| 1396130829 | Amber Rose Morra | Podiatrist | 1155 35th Ln Ste 100, Vero Beach, FL 32960-6522 | 2015-04-01 |
| 1487933057 | Adnan Shariff Inc | Podiatrist | 1850 37th St, Suite A, Vero Beach, FL 32960-4856 | 2011-08-12 |
| 1215226147 | Timothy John Caballes | Podiatrist | 3735 11th Cir, Suite 201, Vero Beach, FL 32960-4844 | 2011-03-31 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on INDIAN RIVER PODIATRY, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.