Institute for Foot and Ankle Surgery

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3038 Issued in FL

Legal business name

INSTITUTE FOR FOOT AND ANKLE SURGERY

Practice address

955 Town Center Dr Ste 100
Orange City, FL 32763-8255

Phone

(386) 774-2200

Fax

(386) 774-2202

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Adaobi Oguchi

Title

Authorized Official

Phone

(386) 774-2200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Basem Halaka, MD,DPM

  • Podiatrist
  • Clearwater, FL
  • NPI 1144759853
  Medicare reassignment NPD
• Godson Ifeanyi Oguchi, M.D.

  • Infectious Disease Physician
  • Orange City, FL
  • NPI 1245200906
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1033296173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 TOWN CENTER DR STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638255",
            "telephone_number": "386-774-2200",
            "fax_number": "867-742-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 TOWN CENTER DR STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638255",
            "telephone_number": "386-774-2200",
            "fax_number": "386-774-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR FOOT AND ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "OGUCHI",
        "authorized_official_first_name": "ADAOBI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "386-774-2200"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65870",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340410200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Daniel Hurt, AP DOM
• Karen Hutton
• Joan Weber Iacobelli, M.D.
• Karen Leigh Ianacone, MSN, IBCLC
• Insights Counseling Center, Inc.
• Intergrated Alternative Professionals
• Interventional Pain Rehab and Regenerative Center of Florida (Anti-Aging, Regeneration and Pain Center)
• Kathleen Iosue, ARNP
• Miranda Itule
• Brianna Jackson, CPM, LM

• Foot & Ankle Surgery Podiatrist in Orange City, FL
• Providers in Orange City, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.