NPIMap

Organization Active NPI

Feitz Foot Clinic PA

  • Podiatrist
  • Marianna, FL
National Provider Identifier
1073886685
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-2094 Issued in FL
Legal business name
FEITZ FOOT CLINIC PA
Practice address
3025 6TH St
Marianna, FL 32446-1930
Phone
(850) 784-9787
Fax
(850) 784-9619
NPI assigned
Feb 13, 2012
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Daniel Eugene Feitz, PODIATRYNPI 1205843463
Title
Owner
Phone
(850) 784-9787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-2094 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO-2094 FL
Foot Surgery Podiatrist 213ES0131X PO-2094 FL

Addresses

Primary practice location

3025 6TH St
Marianna, FL 32446-1930

Mailing address

2424 Frankford Ave
Panama City, FL 32405-2239
Phone (850) 784-9787

National Provider Directory

National Provider Directory

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": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1073886685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 FRANKFORD AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052239",
            "telephone_number": "850-784-9787",
            "fax_number": "850-784-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 6TH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461930",
            "telephone_number": "850-784-9787",
            "fax_number": "850-784-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEITZ FOOT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "FEITZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-784-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PODIATRY"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-2094",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO-2094",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO-2094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.