Provider Demographics
NPI:1568160091
Name:ARIA PODIATRY CARE, PLLC
Entity Type:Organization
Organization Name:ARIA PODIATRY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-647-7926
Mailing Address - Street 1:8500 W 110TH ST STE 450
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-4029
Mailing Address - Country:US
Mailing Address - Phone:877-674-1211
Mailing Address - Fax:913-213-5722
Practice Address - Street 1:1280 HENLEY RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-7886
Practice Address - Country:US
Practice Address - Phone:904-600-3798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty