Jody Gene Rose is a Podiatrist in Yukon, Oklahoma. Jody Gene Rose practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jody Gene Rose is 1184623001. The last update date is 2023-08-21.
Jody Gene Rose's current location address is 4400 Grant Blvd Ste 110, Yukon, Oklahoma. You can contact this provider via phone number 4057331711 and fax number 4057333111. The mailing address for Jody Gene Rose is 4400 Grant Blvd Ste 110, Yukon, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jody Gene Rose |
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Address | 4400 Grant Blvd Ste 110, Yukon, Oklahoma |
Phone Number | 4057331711 |
Fax Number | 4057333111 |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1184623001 |
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Provider Enumeration Date | 2005-07-21 |
Last Updated Date | 2023-08-21 |
Provider Mailing Address Detail
Address | 4400 Grant Blvd Ste 110 |
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City | Yukon |
State | Oklahoma (OK) |
Post Code | 730990038 |
Phone Number | 4057331711 |
Fax Number | 4057333111 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 204 |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200522012 | OK | MEDICARE GROUP | |
P00010135 | OK | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jody Gene Rose by the Centers for Medicare & Medicaid Services?
The Jody Gene Rose has been assigned the NPI (National Provider Identifier) 1184623001 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jody Gene Rose is physically located?
The Jody Gene Rose is physically situated at the following address: 4400 Grant Blvd Ste 110, Yukon, OK, 730990038.
What is the area of specialization for Jody Gene Rose, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jody Gene Rose is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Jody Gene Rose receive its 1184623001 assignment from the Centers for Medicare & Medicaid Services?
The Jody Gene Rose was assigned its 1184623001 by the Centers for Medicare & Medicaid Services on 2005-07-21.
As of what date were the Jody Gene Rose's details last updated?
The information pertaining to the Jody Gene Rose, including its address, specialty, and other details, was most recently updated on 2023-08-21.