East Coast Podiatry Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

EAST COAST PODIATRY INC

Practice address

233 Osceola Ave
Ormond Beach, FL 32176-6638

Phone

(386) 672-6424

Fax

(386) 672-5251

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald C Johnson Jr., DPMNPI 1386637700

Title

DPM / Owner

Phone

(386) 672-6424

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Charles Johnson Jr., DPM

  • Primary Podiatric Medicine Podiatrist
  • Ormond Beach, FL
  • NPI 1386637700

  FL, Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Ann Farrar, DPM

  • Primary Podiatric Medicine Podiatrist
  • Ormond Beach, FL
  • NPI 1992798318

  FL, Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Robert D Weaver, DPM

  • Podiatrist
  • Mayfield Village, OH
  • NPI 1760461784

  FL, Podiatrist

  Medicare reassignment Care Compare group NPD
• Kristen Lynn Diehl, DPM

  • Podiatrist
  • Tampa, FL
  • NPI 1194036418
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1104014208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 OSCEOLA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766638",
            "telephone_number": "386-672-6424",
            "fax_number": "386-672-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 OSCEOLA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766638",
            "telephone_number": "386-672-6424",
            "fax_number": "386-672-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DPM / OWNER",
        "authorized_official_telephone_number": "386-672-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K0055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E-Adept Global, Inc
• Eads Medical Practice
• Elizabeth Anne Eads, D.O.
• East Coast Nephrology Associates LLC
• East Coast Pathology of Florida, PA
• Eastern Shores Orthopedic Brace Inc
• Riley Eddy
• George Lawrence Ehringer, M.D.
• Roberta Ashley Ekholm, DO
• Ela Therapy Solutions, Inc.

• All providers in Ormond Beach, FL
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.