Florida Foot & Ankle Group PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FLORIDA FOOT & ANKLE GROUP PA

Practice address

178 Wilshire Blvd
Casselberry, FL 32707-5352

Phone

(407) 671-8010

Fax

(407) 671-4155

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter E Roth III, D.P.M.NPI 1275501876

Title

Treasurer

Phone

(407) 323-2566

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Florida Foot Ankle Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Foot & Ankle Group PA

  • Foot & Ankle Surgery Podiatrist
  • Lake Mary, FL
  • NPI 1942227541
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter E Roth III, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Mary, FL
  • NPI 1275501876
  Authorized official Same address or phone

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1023557204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S HUNT CLUB BLVD # 344",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034960",
            "telephone_number": "407-297-9800",
            "fax_number": "407-296-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 WILSHIRE BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075352",
            "telephone_number": "407-671-8010",
            "fax_number": "407-671-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FOOT & ANKLE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "407-323-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013593800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jane Figueiras, APRN
• Shariely Anisha Figueroa Mendez
• Rosa Maria Fillor Escriba
• Crystal Fisher, PHARMD
• Florida Counseling Foundation, Inc.
• Christine Mary Forge, PMHNP
• Grace Forty
• Carl Frank Foster
• Aimee N Fowler, APRN
• Nikesha Frederick

• Durable Medical Equipment & Medical Supplies in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.