North Bay Podiatric Associates, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3056 Issued in FL

Legal business name

NORTH BAY PODIATRIC ASSOCIATES, P.A.

Practice address

5040 NW 7TH St Ste 635
Miami, FL 33126

Phone

(305) 644-2212

Fax

(786) 475-7787

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Scott Peterson, DPMNPI 1871525170

Title

President

Phone

(305) 644-2212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Scott Peterson, DPM

  • Podiatrist
  • Miami, FL
  • NPI 1871525170
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1174785679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263796",
            "telephone_number": "305-644-2212",
            "fax_number": "786-475-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-644-2212",
            "fax_number": "786-475-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11855 Quail Roost Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33177",
            "country_code": "US",
            "telephone_number": "305-252-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH BAY PODIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-04-28",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-644-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Nani Norris-Bryan
• Nicholas Bernard Norris, MSC
• Waldo C Norstad
• North American Medical Group LLC
• North Bay Medical Associates, P.a.
• North Beach Dialysis Center, LLC
• North Gables Foot Clinic
• North Gables Foot Clinic
• North Gables Foot Clinic Inc
• North Gables Foot Clinic Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.