Trieu Foot Solutions LLC
Organization Active NPI Podiatrist · Live Oak, FL
NPI 1124594403 · NPPES record last updated Feb 21, 2019
Key facts
- NPI
- 1124594403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- TRIEU FOOT SOLUTIONS LLC
- Practice address
- 609 5TH St SW
Live Oak, FL 32064-2216 - Phone
- (425) 274-6027
- NPI assigned
- Oct 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Trieu Dang, DPM
- Title
- Owner
- Phone
- (425) 274-6027
Practitioners 1
-
Trieu Dang, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190403000692 | FL | Part B Supplier - Clinic/Group Practice | 2163763004 |
Receives reassigned benefits from 1 practitioner Practice locations: Mayo, FL; Palatka, FL; Live Oak, FL; Lake City, FL; Jacksonville, FL |
| O20190412001967 | FL | DME Supplier - Physician - Podiatry | 2163763004 | Practice locations: Live Oak, FL |
National Provider Directory
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBGGBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
609 5TH St SW
Live Oak, FL 32064-2216
Mailing address
609 5TH St SW
Live Oak, FL 32064-2216
Phone (386) 219-0171
Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2019. 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.