Individual provider Active NPI

Greg D Pound, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gillette, WY
National Provider Identifier
1063608610
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2844 Issued in FL
Practice address
469 Highway 50
Gillette, WY 82718-9330
Phone
(307) 387-9850
Fax
(307) 387-9883
NPI assigned
Sep 18, 2007
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2844 FL Primary

Addresses

Primary practice location

469 Highway 50
Gillette, WY 82718-9330

Mailing address

469 Highway 50
Gillette, WY 82718-9330
Phone (307) 387-9850

Other identifiers 1

IdentifierTypeStateIssuer
65674OtherFLBCBS

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
I20041117001165 FL Practitioner - Podiatry 7012971179 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
172WYMDCounseling Psychologist
PO2844FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy C. Runyon, DPM, PA Foot & Ankle Surgery CurrentSince Oct 28, 2020 Accepting new patients
Timothy C. Runyon, D.P.M. P.a. Foot & Ankle Surgery CurrentSince Oct 28, 2020 Accepting new patients
Foot Doctor, PLLC CurrentSince Oct 2, 2022 Accepting new patients
SK Raman PA CurrentSince Apr 7, 2021 Accepting new patients
Florida Id Care LLC Past Accepting new patients
Cape Coral Hospitalists Inc PastSince May 8, 2020 Accepting new patients
Florida Foot and Ankle Physicians PA PastSince Aug 1, 1997 Accepting new patients

Locations

1003 Del Prado Blvd S
Ste 303
Cape Coral, FL 33990
Phone (239) 689-3843

14192 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 244-9560

1401 16th St N
St Petersburg, FL 33704
Phone (727) 894-0794

1735 University Ave
Oxford, MS 38655
Phone (662) 234-3668

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHFHBA

Organizations & group practices 7

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1063608610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 HIGHWAY 50",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189330",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HIGHWAY 50",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189330",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUND",
        "first_name": "GREG",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65674",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.