Organization Active NPI

Feitz Foot Clinic

  • Durable Medical Equipment & Medical Supplies
  • Marianna, FL
National Provider Identifier
1124136817
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3663 Issued in FL
Legal business name
FEITZ FOOT CLINIC
Practice address
3025 6TH St
Marianna, FL 32446-1930
Phone
(850) 784-9787
Fax
(850) 781-9619
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Daniel E Feitz, DPM
Title
Owner
Phone
(850) 784-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3663 FL Primary

Addresses

Primary practice location

3025 6TH St
Marianna, FL 32446-1930

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1124136817",
    "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": "32405",
            "telephone_number": "850-784-9787"
        },
        {
            "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": "850-781-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEITZ FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "FEITZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-784-9787",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "3663",
            "primary": true
        }
    ],
    "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 Nov 18, 2011; 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.