Individual provider Active NPI

Martin Thomas Girling, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plant City, FL
National Provider Identifier
1003804675
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 1783 Issued in FL
Practice address
210 N Alexander St
Foot Health Center
Plant City, FL 33563-4362
Phone
(813) 754-3668
Fax
(813) 752-0093
NPI assigned
Oct 7, 2005
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 1783 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO 1783 FL Primary

Addresses

Primary practice location

210 N Alexander St
Foot Health Center
Plant City, FL 33563-4362

Mailing address

210 N Alexander St
Foot Health Center
Plant City, FL 33563-4362
Phone (813) 754-3668

Other identifiers 1

IdentifierTypeStateIssuer
CJ2851OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000854 FL Practitioner - Podiatry 1456423219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 1783FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialist Doctors Group LLC Foot & Ankle Surgery CurrentSince Apr 23, 2011 Accepting new patients
Specialist Doctors Group LLC Podiatrist CurrentSince Apr 23, 2011 Accepting new patients
Martin T Girling DPM PA Foot & Ankle Surgery PastSince Aug 13, 2003 Accepting new patients
Specialist Doctors Group, LLC Past Accepting new patients

Locations

210 N Alexander St
Plant City, FL 33563
Phone (813) 719-3525

210 N Alexander St
Ste B
Plant City, FL 33563
Phone (813) 719-3525

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71788

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1003804675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N ALEXANDER ST",
            "address_2": "FOOT HEALTH CENTER",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634362",
            "telephone_number": "813-754-3668",
            "fax_number": "813-752-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N ALEXANDER ST",
            "address_2": "FOOT HEALTH CENTER",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634362",
            "telephone_number": "813-754-3668",
            "fax_number": "813-752-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRLING",
        "first_name": "MARTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1783",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 1783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ2851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.