DR. CHARLES DALE RHODUS (NPI# 1962495341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962495341 |
| Entity Type | Individual |
| Full Name | DR. CHARLES DALE RHODUS |
| Credential | DPM |
| Practice Address |
5826 New Copeland Rd Tyler TX 75703-6217 |
| Practice Telephone | 9035927200 |
| Practice Fax Number | 9035927211 |
| Mailing Telephone | 9035927200 |
| Mailing Fax Number | 9035927211 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1375 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | COMMERCIAL | 161772848 | 01 |
| TX | 046291302 | 05 | |
| TX | BCBS PIN | 8X2110 | 01 |
| TX | MEDICARE RAILROAD | P00383164 | 01 |
| Street Address |
5826 NEW COPELAND RD |
| City | TYLER |
| State | TX |
| Zip Code | 75703-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891920583 | Matthew Owen Kindle | Podiatrist | 5826 New Copeland Rd, Tyler, TX 75703-6217 | 2009-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| 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 |
|---|---|---|---|---|
| 1780031906 | Rachel Lauren Ross | Podiatrist | 3401 Omega Dr, Tyler, TX 75701-6653 | 2016-05-17 |
| 1205194263 | David A. Andreone Dpm Pllc | Podiatrist | 921 Shiloh Road, Ste C110, Tyler, TX 75703-1406 | 2012-04-27 |
| 1922276435 | Trinity Clinic | Podiatrist | 1034 Clinic Dr, Tyler, TX 75701-2050 | 2008-02-19 |
| 1639143902 | Jonathan C Hosch | Podiatrist | 417 S Saunders Ave, Tyler, TX 75702-8344 | 2006-02-14 |
| 1942293139 | Daniel Hubbard Phelps | Podiatrist | 321 S Fannin Ave, Tyler, TX 75702-7321 | 2005-08-24 |
| 1851399331 | Thomas F Mccloskey | Podiatrist | 1318 Clinic Dr, Tyler, TX 75701-2119 | 2005-07-08 |
| 1891791125 | Thomas Felton Eckert | Podiatrist | 921 Shiloh Rd Ste C110, Tyler, TX 75703-1406 | 2005-06-22 |
| 1538562038 | East Texas Foot and Ankle Care Pllc | Podiatrist | 9209 Stonebank Xing, Tyler, TX 75703-0829 | 2014-09-29 |
| 1205099314 | Brandon E. Crim | Podiatrist | 417 S Saunders Ave, Tyler, TX 75702-8344 | 2008-07-08 |
| 1083786982 | David A. Andreone | Podiatrist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2006-11-15 |
| Find all providers in TYLER | ||||
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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.