Dusky Rideout Farmer in Evansville - Foot Surgery
Dusky Rideout Farmer - NPI 1114904935
Dusky Rideout Farmer is a Foot Surgery in Evansville, Indiana. Dusky Rideout Farmer practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Dusky Rideout Farmer is 1114904935. The last update date is 2016-02-09.
Dusky Rideout Farmer's current location address is 4501 Upper Mount Vernon Rd, Evansville, Indiana. You can contact this provider via phone number 8124218555 and fax number 8124022139. The mailing address for Dusky Rideout Farmer is 4501 Upper Mount Vernon Rd, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dusky Rideout Farmer |
|---|---|
| Address | 4501 Upper Mount Vernon Rd, Evansville, Indiana |
| Phone Number | 8124218555 |
| Fax Number | 8124022139 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1114904935 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2016-02-09 |
Provider Mailing Address Detail
| Address | 4501 Upper Mount Vernon Rd |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477126421 |
| Phone Number | 8124218555 |
| Fax Number | 8124022139 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 07000944A |
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Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200805820 | IN | -- | |
| 20085820 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dusky Rideout Farmer?
The Dusky Rideout Farmer has been issued the NPI (National Provider Identifier) 1114904935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Dusky Rideout Farmer located?
The Dusky Rideout Farmer is located at 4501 Upper Mount Vernon Rd, Evansville, IN 477126421.
What is Dusky Rideout Farmer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dusky Rideout Farmer's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
On what date was the 1114904935 assigned to Dusky Rideout Farmer?
The Dusky Rideout Farmer was issued its 1114904935 on 2005-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dusky Rideout Farmer most recently updated or revised?
The information pertaining to Dusky Rideout Farmer, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-09.
NPI Number: 1932102142
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