Organization Active NPI

Ihn Podiatry Services PLLC

Doing business as Bedside Wound Care

  • Podiatrist
  • Lakeland, FL
National Provider Identifier
1073231353
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
IHN PODIATRY SERVICES PLLC
Doing business as
Bedside Wound Care
Practice address
5304 S Florida Ave Ste 408
Lakeland, FL 33813-2519
Phone
(863) 738-6601
Fax
(863) 937-3002
NPI assigned
Aug 22, 2022
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Dr. Gloried Marie Ebsworth, DPMNPI 1649408501
Title
Medical Director
Phone
(305) 781-9667

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X
Podiatrist 213E00000X Primary
Primary Podiatric Medicine Podiatrist 213EP1101X
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

5304 S Florida Ave Ste 408
Lakeland, FL 33813-2519

Mailing address

5304 S Florida Ave Ste 408
Lakeland, FL 33813-2519
Phone (863) 738-6601

Other identifiers 1

IdentifierTypeStateIssuer
116891200MedicaidFL

Other names 1

  • Bedside Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221117001007 FL Part B Supplier - Clinic/Group Practice 2264800564 Receives reassigned benefits from 3 practitioners
Practice locations: Lakeland, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2331607Ihn Podiatry Services PLLC5304 S Florida Ave Ste 408, Lakeland, FL 33813Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

5304 S Florida Ave
Ste 400F
Lakeland, FL 33813
Phone (863) 738-6601

Practitioners & affiliated clinicians

Practitioners 3

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": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1073231353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 S FLORIDA AVE STE 408",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132519",
            "telephone_number": "863-738-6601",
            "fax_number": "863-937-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 S FLORIDA AVE STE 408",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132519",
            "telephone_number": "863-738-6601",
            "fax_number": "863-937-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHN PODIATRY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "EBSWORTH",
        "authorized_official_first_name": "GLORIED",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-781-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116891200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedside Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bedside Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.