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NPI 1003250556 · live from the CMS NPI Registry

Jonathan Duane Rouse, DPM

Podiatrist, Foot & Ankle Surgery in Omaha, NE. National Provider Identifier 1003250556, active.

NPI record

NPI1003250556 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location9006 Ohio St Ste 1, Omaha, NE 68134
Practice phone402-391-7575
EnumeratedApril 25, 2013
Last updatedApril 1, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X016.005724 (IL)
Podiatrist, Foot & Ankle Surgery213ES0103X006670 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.