Organization Active NPI

Florida Coast Foot & Ankle PA

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
National Provider Identifier
1184757635
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3206 Issued in FL
Legal business name
FLORIDA COAST FOOT & ANKLE PA
Practice address
1001 37TH Street North
Suite F
St Petersburg, FL 33713-6010
Phone
(727) 384-3338
Fax
(727) 347-3668
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Dr. Robert Abady, DPMNPI 1598767907
Title
President
Phone
(727) 384-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3206 FL Primary

Addresses

Primary practice location

1001 37TH Street North
Suite F
St Petersburg, FL 33713-6010

Mailing address

1001 37TH Street North
Suite F
St Petersburg, FL 33713-6010
Phone (727) 384-3338

Other identifiers 1

IdentifierTypeStateIssuer
003164800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070420000287 FL Part B Supplier - Clinic/Group Practice 2567567498 Receives reassigned benefits from 1 practitioner
Practice locations: St. Petersburg, FL
O20100930042097 FL DME Supplier - Physician - Podiatry 2567567498 Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

1001 37th St N
Ste F
St Petersburg, FL 33713
Phone (727) 384-3338

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1184757635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 37TH STREET NORTH",
            "address_2": "SUITE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-384-3338",
            "fax_number": "727-347-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 37TH STREET NORTH",
            "address_2": "SUITE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-384-3338",
            "fax_number": "727-347-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA COAST FOOT & ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "ABADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-384-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003164800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.