Atlantic Podiatry Associates DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ATLANTIC PODIATRY ASSOCIATES DPM PA

Practice address

1890 Lpga Blvd
Ste 230
Daytona Beach, FL 32117-7131

Phone

(386) 274-3336

Fax

(386) 274-3660

NPI assigned

Jul 18, 2006

Last updated

Jul 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James W Rust, DPMNPI 1134141617

Title

Physician

Phone

(386) 274-3336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James W Rust, DPM

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
  • NPI 1134141617
  Medicare reassignment NPD Authorized official
• Mark Davids, D.P.M.

  • Podiatrist
  • Orange City, FL
  • NPI 1265477434
  Medicare reassignment NPD
• Andrew B Green, DPM

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
  • NPI 1598787988
  Medicare reassignment NPD
• Bobbi Hayashi

  • Podiatrist
  • Daytona Beach, FL
  • NPI 1861921298
  Medicare reassignment NPD
• Kyle A Herron, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1679766943
  Medicare reassignment NPD
• Dennis Bruce McBroom Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
  • NPI 1689865453
  Medicare reassignment NPD
• Daria P McDonough

  • Podiatrist
  • Ormond Beach, FL
  • NPI 1447246947
  Medicare reassignment NPD
• Hilaree Brooke Milliron, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pace, FL
  • NPI 1447412416
  Medicare reassignment NPD
• Vimal A Reddy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1962470617
  Medicare reassignment NPD
• Laura Michelle Walton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
  • NPI 1083901995
  Medicare reassignment NPD
• Joseph Thomas Watson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
  • NPI 1063874584

  Single Specialty

  Medicare reassignment NPD
• Courtney Bogunovic, DPM

  • Podiatrist
  • Daytona Beach, FL
  • NPI 1396992715
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1154349082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "STE 230",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177131",
            "telephone_number": "386-274-3336",
            "fax_number": "386-274-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "STE 230",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177131",
            "telephone_number": "386-274-3336",
            "fax_number": "386-274-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PODIATRY ASSOCIATES DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-274-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atlantic Snore and Sleep Apnea Center LLC
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• Atlantic Urological Associates P a
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• Atlantic Urological Associates P a

• Foot & Ankle Surgery Podiatrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.