Organization Active NPI

Delray Podiatry Foot & Ankle Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Delray Beach, FL
National Provider Identifier
1124066279
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 2035 Issued in FL
Legal business name
DELRAY PODIATRY FOOT & ANKLE GROUP, INC.
Practice address
13590 Jog Rd
Suite 2
Delray Beach, FL 33446-3807
Phone
(561) 865-3331
Fax
(561) 865-3332
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Michael Sturm, DPMNPI 1649228719
Title
Owner
Phone
(561) 865-3331

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO 2035 FL Primary

Addresses

Primary practice location

13590 Jog Rd
Suite 2
Delray Beach, FL 33446-3807

Mailing address

13590 Jog Rd
Suite 2
Delray Beach, FL 33446-3807
Phone (561) 865-3331

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050727000422 FL Part B Supplier - Clinic/Group Practice 1355379801 Receives reassigned benefits from 1 practitioner
Practice locations: Greenacres, FL; Lake Worth, FL; Lantana, FL; Palm Beach Gardens, FL; West Palm Beach, FL; Boynton Beach, FL; Delray Beach, FL; Atlantis, FL…
O20100930016199 FL DME Supplier - Physician - Podiatry 1355379801 Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

5157F W Atlantic Ave
Delray Beach, FL 33484
Phone (561) 496-2500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1124066279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 JOG RD",
            "address_2": "SUITE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-865-3331",
            "fax_number": "561-865-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 JOG RD",
            "address_2": "SUITE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-865-3331",
            "fax_number": "561-865-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY PODIATRY FOOT & ANKLE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "STURM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-865-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 2035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.