Efstratios Demetrios Lagoutaris, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2989 Issued in FL

Practice address

1361 13TH Ave S
Ste 12
Jacksonville Beach, FL 32250

Phone

(904) 241-2655

Fax

(904) 249-2425

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Podiatry Associates of Florida, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
  • NPI 1255432746
  Medicare reassignment NPD
• Podiatry Associates of Florida Inc

  • Podiatrist
  • Jacksonville, FL
  • NPI 1417137183
  NPD
• Podiatry Associates of Florida Inc

  • Podiatrist
  • Jacksonville Beach, FL
  • NPI 1578664074
  NPD
• Podiatry Associates of Florida, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1841254786
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1194717595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 TIMUQUANA RD UNIT 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107897",
            "telephone_number": "904-251-5053",
            "fax_number": "904-224-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "STE 12",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-241-2655",
            "fax_number": "904-249-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOUTARIS",
        "first_name": "EFSTRATIOS",
        "middle_name": "DEMETRIOS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-02-20",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270008501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DR7381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21698L",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kulak Oculofacial LLC
• Amy Kulak, MD
• Lillian Kendall Kulik, PA-C
• La Quinn MD PA
• La Quinn MD PA
• Ludina Laguerre
• Maria Concepcion Puro Lam, PHARMD
• May Ruth Berryhill Lambert, WHNP
• Emma Lamonica
• Charles Steven Lancaster, O.D.

• Foot & Ankle Surgery Podiatrist in Jacksonville Beach, FL
• Providers in Jacksonville 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 Feb 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.