RODNEY A RAKER (NPI# 1770542417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770542417 |
Entity Type | Individual |
Full Name | RODNEY A RAKER |
Credential | D.P.M. |
Practice Address |
679 Hospital Rd Commerce GA 30529-1146 |
Mailing Address |
2718 N Oak St Valdosta GA 31602-1781 |
Practice Telephone | 7063354884 |
Practice Fax Number | 7063368798 |
Mailing Telephone | 2292423668 |
Mailing Fax Number | 2292538666 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2019-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000929 | GA | Podiatric Medicine & Surgery Service Providers |
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
000929 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00928771A | 05 | |
GA | RAILROAD MEDICARE | P00012281 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2718 N Oak St, Valdosta, GA 316021781 | 2292423668 | 2292538666 |
Street Address |
679 HOSPITAL RD |
City | COMMERCE |
State | GA |
Zip Code | 30529-1146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134126956 | Jon T Middleton | Podiatrist | 679 Hospital Rd, Commerce, GA 30529-1146 | 2005-07-07 |
1407032337 | Family Foot Care Center | Podiatrist | 679 Hospital Rd, Commerce, GA 30529-1146 | 2008-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
Find all providers in zip 30529 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649474032 | Tom Tien Dang | Podiatrist | 679 Hospital Road, Commerce, GA 30529-1146 | 2007-06-12 |
1134126956 | Jon T Middleton | Podiatrist | 679 Hospital Rd, Commerce, GA 30529-1146 | 2005-07-07 |
1407032337 | Family Foot Care Center | Podiatrist | 679 Hospital Rd, Commerce, GA 30529-1146 | 2008-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
Find all providers with the same taxonomy |
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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.