Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jody Gene Rose, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1184623001

Dr. Jody Gene Rose, DPM is a Podiatry in Yukon, Oklahoma. Graduated from Kent State University College of Podiatric Medicine in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
28
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OK
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4400 Grant Blvd Ste 110
Yukon, OK 73099-0038
Phone: (405) 733-1711
Fax: (405) 733-3111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 204 (OK)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 204 (OK)

Record details

NPI number1184623001
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 21, 2005
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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