| NPI | 1184623001 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-21 |
| Last Updated | 2023-08-21 |
| Mailing Address | 4400 Grant Blvd Ste 110 Yukon, OK 73099-0038 United States Phone: (405) 733-1711 | Fax: (405) 733-3111 📍 View Map |
| Primary Practice Address | 4400 Grant Blvd Ste 110 Yukon, OK 73099-0038 United States Phone: (405) 733-1711 | Fax: (405) 733-3111 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | OK | 200522012 | MEDICARE GROUP |
| Other (non-Medicare) | OK | P00010135 | RAILROAD MEDICARE |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | OK | 204 |
| Yes | 213E00000X – Podiatrist | OK | 204 |
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About NPI 1184623001
Jody Gene Rose DPM is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184623001. The primary specialty listed is Podiatrist. The provider is located in Yukon, OK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184623001?
NPI 1184623001 belongs to Jody Gene Rose DPM, a Podiatrist in Yukon, OK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184623001 active?
The current status of NPI 1184623001 in the NPPES registry is Active. The record was last updated on 2023-08-21.
What specialty is NPI 1184623001?
NPI 1184623001 is classified under the taxonomy Podiatrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184623001?
You can verify NPI 1184623001 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184623001?
The primary practice address on file for NPI 1184623001 is 4400 Grant Blvd Ste 110, Yukon, OK 73099-0038. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184623001 issued?
NPI 1184623001 was first issued (enumerated) on 2005-07-21. The NPPES record was last updated on 2023-08-21.
Practice Location Map
Jody Gene Rose is located at 4400 Grant Blvd Ste 110, Yukon, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jody Gene Rose. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184623001. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 204 | OK |
| Podiatrist | 204 | OK |