Ankle & Foot Center of Tampa Bay
Organization Active NPI Podiatric Clinic/Center · Trinity, FL
NPI 1124593355 · NPPES record last updated Oct 11, 2018
Key facts
- NPI
- 1124593355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatric Clinic/Center 261QP1100X
- Legal business name
- ANKLE & FOOT CENTER OF TAMPA BAY
- Practice address
- 2039 Little Rd Ste B
Trinity, FL 34655-4421 - Phone
- (727) 845-0880
- Fax
- (727) 845-4912
- NPI assigned
- Oct 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Robert E Creighton, DPM
- Title
- Member
- Phone
- (813) 254-4747
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 5
Practitioners 28
-
Federico Alfonso Auger, D.P.M
-
Lya Basha, DPM
-
Janale Beckford, DPM
-
Christina Lynn Berg, DPM
-
Marquissa Beverly, DPM
-
Steven M Blustein, D.P.M.
-
Robert E Creighton, D.P.M.
-
Gabrielle G Gagliardi, D.P.M.
-
Julio Cesar Gutierrez, DPM, MS
-
Ronald Terry Hadam, DPM
-
Val Elbert Haddon II, DPM
-
Urwah Haq, DPM
-
Scott M Labohn, D.P.M.
-
Allen Lazerson, D.P.M.
-
Charles Mayer Miller, D.P.M.
-
Zohaib Umer Moon, DPM
-
Juan J Rivera, D.P.M.
-
Su Xu, MD
-
Shayne M Erman, DPM
-
Kyle R Moore, D.P.M.
-
Richard C Aronoff, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181106002751 | FL | DME Supplier - Physician - Podiatry | 9133187107 | Practice locations: Trinity, FL |
National Provider Directory
- Tax ID family
- Ankle and Ft Ctr of Tpa
Locations
1700 N McMullen Booth Rd
Ste A2-2
Clearwater, FL 33759
Phone (727) 725-2719
6610 E Fowler Ave
Ste D
Temple Terrace, FL 33617
Phone (813) 989-2424
2039 Little Rd
#A
Trinity, FL 34655
Phone (727) 845-0880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Yes |
Addresses
Primary practice location
2039 Little Rd Ste B
Trinity, FL 34655-4421
Mailing address
2835 W de Leon St Ste 101
Tampa, FL 33609-4130
Phone (813) 254-4747
Other providers in Trinity, FL
- American Medical Association
- Si Young An
- Brenda Anderson
- Nicholas John Andropoulos
- Debra Gail Angelo
- Apc, Inc -New Port Richey
- Apn, LLC
- Apollo Medical Group PA
- Daniela Alejandra Arevalo
- Salma Khaled Asous
All providers in Trinity, FL · Podiatric Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.