John A Crist, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 1768 Issued in FL

Practice address

1443 Lakeland Hills Blvd
Lakeland, FL 33805-3206

Phone

(863) 686-6200

Fax

(813) 752-0093

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy and Rehab of Cape Coral LLCGroup PAC ID 1951439660, 64 clinicians

Cortez Foot and Ankle Specialists, PAGroup PAC ID 6901931187, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/GJHCBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruce J Levine, DPM PA

  • Podiatrist
  • Bradenton, FL
  • NPI 1215094776
  Medicare reassignment Care Compare group
• Florida Ankle and Foot Associates

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1740991363
  NPD Authorized official
• Florida Foot and Ankle Specialists PA

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1093266991
  NPD (past) Authorized official
• Advanced Physical Therapy & Rehab of Cape Coral, LLC

  • Physical Therapy Clinic/Center
  • Cape Coral, FL
  • NPI 1891990206
  Care Compare group
• Bay Area Orthopaedic Specialists LLC

  • Orthopaedic Trauma Physician
  • Pinellas Park, FL
  • NPI 1932617529
  NPD (past)
• Foot and Ankle Medical Center, PLLC

  • Podiatrist
  • New Port Richey, FL
  • NPI 1386098226
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1174675409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CREEKSIDE PKWY",
            "address_2": "BOX 111324",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081153",
            "telephone_number": "239-272-1185",
            "fax_number": "718-732-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053206",
            "telephone_number": "863-686-6200",
            "fax_number": "813-752-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 2ND AVE N",
            "address_2": "STE 204",
            "address_purpose": "LOCATION",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025701",
            "country_code": "US",
            "telephone_number": "239-272-1185",
            "fax_number": "718-732-2063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIST",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 1768",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL PIN",
            "identifier": "201805",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480012416",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593105185",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renier A Crespo
• Kelly Crews, ARNP
• Courtney Cribbs, BCBA
• Madison M Cribbs
• Philip Andrew Cribbs, RPH
• Heather Nichole Cristofaro, APRN
• CRJ Pharmacy, Inc.
• Lindsey Rai Cromer, APRN, FNP-C
• Brian T Crosby, D.M.D.
• Jennifer Cross

• Podiatrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.