Organization Active NPI

Foot and Ankle Medical Center, PLLC

  • Podiatrist
  • Spring Hill, FL
National Provider Identifier
1043682354
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3000 Issued in FL
Legal business name
FOOT AND ANKLE MEDICAL CENTER, PLLC
Practice address
5463 Commercial Way
Spring Hill, FL 34606-1110
Phone
(352) 596-3338
Fax
(727) 841-0567
NPI assigned
Oct 26, 2015
Organization subpart
Yes
Parent organization
FOOT AND ANKLE MEDICAL CENTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Dr. David M Allen, DPMNPI 1982746863
Title
Owner
Phone
(727) 847-2406

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3000 FL Primary

Addresses

Primary practice location

5463 Commercial Way
Spring Hill, FL 34606-1110

Mailing address

5141 Deer Park Dr Unit 1C
New Port Richey, FL 34653-7013
Phone (727) 847-2406

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160722002499 FL DME Supplier - Physician - General Practice 4082907431 Practice locations: Spring Hill, FL
O20160825001495 FL Part B Supplier - Clinic/Group Practice 4082907431 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Harbor, FL; Port Richey, FL; Spring Hill, FL; Tampa, FL; Trinity, FL; Zephyrhills, FL; Springhill, FL; New Port Richey, FL…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foot Ankle Medical CNTR PL3 organizations share this tax ID, including this one
Part of
Foot Ankle Medical CNTR PL

Other organizations with this tax ID 2

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

Locations

5155 Deer Park Dr
Unit A2
New Port Richey, FL 34653
Phone (727) 372-5899

8684 Old County Road 54
New Port Richey, FL 34653
Phone (727) 339-1300

7435 Plathe Rd
New Prt Rchy, FL 34653
Phone (727) 845-0609

5141 Deer Park Dr
Ste 1C
New Pt Richey, FL 34653
Phone (727) 847-2406

Practitioners & affiliated clinicians

Practitioners 4

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": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1043682354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 DEER PARK DR UNIT 1C",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-847-2406",
            "fax_number": "727-841-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5463 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061110",
            "telephone_number": "352-596-3338",
            "fax_number": "727-841-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE MEDICAL CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT AND ANKLE MEDICAL CENTER, PLLC",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-04-24",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-847-2406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.