Richard Anthony Rose, D.P.M.
Podiatrist in Fairfield, IA. Individual provider (NPI-1).
NPI number1790775922
StatusActive
Last updated in NPPESOct 2, 2008
Details
- NPI
- 1790775922
- Entity type
- Individual (NPI-1)
- Name
- Richard Anthony Rose
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2005
- Last updated
- Oct 2, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 688 | IA | Yes |
Practice location
202 E Briggs AveFairfield, IA 52556-2925
Phone 641-472-9731 · Fax 641-472-9589
Mailing address
Po Box 1687Fairfield, IA 52556-0029
Phone 641-472-9371 · Fax 641-472-9589
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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