Organization Active NPI

Robert F Herbold,Jr.,DPM,PA

Doing business as Accredited Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Sarasota, FL
National Provider Identifier
1033306824
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0002764 Issued in FL
Legal business name
ROBERT F HERBOLD,JR.,DPM,PA
Doing business as
Accredited Podiatry
Practice address
4717 Swift Rd
Sarasota, FL 34231-6433
Phone
(941) 929-1234
Fax
(941) 929-3668
NPI assigned
Sep 26, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Robert F Herbold Jr., DPMNPI 1659424273
Title
President
Phone
(941) 929-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO0002764 FL Primary

Addresses

Primary practice location

4717 Swift Rd
Sarasota, FL 34231-6433

Mailing address

4717 Swift Rd
Sarasota, FL 34231-6433
Phone (941) 929-1234

Other names 1

  • Accredited Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040811001264 FL Part B Supplier - Clinic/Group Practice 7113999822 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL
O20100930054236 FL DME Supplier - Physician - Podiatry 7113999822 Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

4717 Swift Rd
Sarasota, FL 34231
Phone (941) 929-1234

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1033306824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 SWIFT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316433",
            "telephone_number": "941-929-1234",
            "fax_number": "941-929-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 SWIFT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316433",
            "telephone_number": "941-929-1234",
            "fax_number": "941-929-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F HERBOLD,JR.,DPM,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HERBOLD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-929-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0002764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accredited Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.