Active NPI
Foot & Ankle Group of Southwest Florida, PA
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO-3613
- Legal business name
- FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, PA
- Practice address
- 7117 Congdon Rd Apt 200
Fort Myers, FL 33908-5004 - Phone
- (239) 936-5400
- Fax
- (239) 936-9572
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerold S. Goldstein
- Title
- Authorized Official
- Phone
- (239) 936-5400
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-1326 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-2020 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-1693 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-3613 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-3722 | FL | |
| Podiatric Clinic/Center | 261QP1100X |
Addresses
Primary practice location
7117 Congdon Rd Apt 200
Fort Myers, FL 33908-5004
Mailing address
7117 Congdon Rd Apt 200
Fort Myers, FL 33908-5004
Phone (239) 936-5400
Other practice location 1
1617 Santa Barbara Blvd
Cape Coral, FL 33991-3445
Phone (239) 458-5775
Other practice location 2
9240 Bonita Beach Rd SE
Bonita Springs, FL 34135-4249
Phone (239) 947-2112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN1511 | Other | FL | RAILROAD MEDICARE |
| 340184700 | Medicaid | FL |
Other names 1
- FOOT & ANKLE GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
9240 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 947-2112
9240 Bonita Beach Rd SE
Ste 1100
Bonita Springs, FL 34135
Phone (239) 947-2112
1510 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 422-6031
1510 Santa Barbara Blvd
Ste A
Cape Coral, FL 33991
Phone (239) 458-5775
1617 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 458-5775
7117 Congdon Rd
Apt 200
Fort Myers, FL 33908
Phone (239) 936-5400
7117 Congdon Rd
Fort Myers, FL 33908
260 Beth Stacey Blvd
Unit 140
Lehigh Acres, FL 33936
Phone (239) 369-5342
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1740251750
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1780655977
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1588051684
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1417298597
-
- Podiatrist
- Fort Myers, FL
- NPI 1063483295
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1316105653
-
- Podiatrist
- Braselton, GA
- NPI 1922079151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1194725002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 CONGDON RD APT 200",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085004",
"telephone_number": "239-936-5400",
"fax_number": "239-936-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 CONGDON RD APT 200",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085004",
"telephone_number": "239-936-5400",
"fax_number": "239-936-9572"
}
],
"practiceLocations": [
{
"address_1": "1617 Santa Barbara Blvd",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339913445",
"country_code": "US",
"telephone_number": "239-458-5775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9240 Bonita Beach Rd SE",
"address_purpose": "LOCATION",
"city": "Bonita Springs",
"state": "FL",
"postal_code": "341354249",
"country_code": "US",
"telephone_number": "239-947-2112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "JEROLD",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "239-936-5400"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO-1326",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO-2020",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO-1693",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO-3613",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO-3722",
"primary": false
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN1511",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340184700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOOT & ANKLE GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.