Jody Gene Rose in Yukon - Foot & Ankle Surgery
Jody Gene Rose - NPI 1184623001
Jody Gene Rose is a Foot & Ankle Surgery in Yukon, Oklahoma. Jody Gene Rose practices all healthcare services and medical treatments related to Foot & Ankle Surgery. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2023-08-21 |
Provider Mailing Address Detail
| Address | 4400 Grant Blvd Ste 110 |
|---|---|
| City | Yukon |
| State | Oklahoma (OK) |
| Post Code | 730990038 |
| Phone Number | 4057331711 |
| Fax Number | 4057333111 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 204 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.
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.