EUGENE D ROHACZ D P M P C (NPI# 1518201920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518201920 |
| Entity Type | Organization |
| Organization Name | EUGENE D ROHACZ D P M P C |
| Practice Address |
1518 W Michigan Ave Jackson MI 49202-4025 |
| Practice Telephone | 5177807780 |
| Practice Fax Number | 5174370372 |
| Mailing Telephone | 5177807780 |
| Mailing Fax Number | 5174370372 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | DR. EUGENE D ROHACZ (OWNER) |
| Authorized Official Telephone | 5177807880 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | Y |
| Parent Organization Name | EUGENE D ROHACZ D P M P C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901001700 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3054981 | 05 |
| Street Address |
1518 W MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913842 | Premier Podiatry LLC | Podiatrist | 5434 River Thames Rd, Jackson, MS 39211-4133 | 2020-05-12 |
| 1164873527 | Blake Brannick | Podiatrist | 3333 Spring Arbor Rd Ste 200, Jackson, MI 49203-8622 | 2016-06-28 |
| 1942463567 | Stanitia W. Davis | Podiatrist | 953 North St, Suite A, Jackson, MS 39202-2615 | 2008-07-03 |
| 1154736585 | The Jackson Center for Foot and Ankle Medicine | Podiatrist | 728 Bennetts Mills Rd, Suite 2, Jackson, NJ 08527 | 2014-06-24 |
| 1922425560 | Caroline Kiser | Podiatrist | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2014-03-20 |
| 1962740696 | Nicolas Arcuri | Podiatrist | 657 Skyline Dr, Suite A, Jackson, TN 38301-3903 | 2013-01-31 |
| 1912273814 | Davis Podiatry, LLC | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2012-03-26 |
| 1699004606 | Somc Medical Group PC | Podiatrist | 2290 W County Line Rd, Jackson, NJ 08527-2267 | 2009-12-22 |
| 1184885147 | Mississippi Foot Clinic, Inc | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2008-06-23 |
| 1609047372 | Jackson Center for Foot and Ankle Medicine,llc | Podiatrist | 180 N County Line Rd, Jackson, NJ 08527-4421 | 2008-03-20 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on EUGENE D ROHACZ D P M P C.
| 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.