Organization Active NPI

South Miami Foot Health Center

  • Foot & Ankle Surgery Podiatrist
  • South Miami, FL
National Provider Identifier
1205026408
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOUTH MIAMI FOOT HEALTH CENTER
Practice address
6350 Sunset Dr
2ND Floor
South Miami, FL 33143-4836
Phone
(305) 667-5683
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Keith Kashuk, DPM
Title
President
Phone
(305) 667-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

6350 Sunset Dr
2ND Floor
South Miami, FL 33143-4836

Mailing address

6350 Sunset Dr
2ND Floor
South Miami, FL 33143-4836
Phone (305) 667-5683

Other identifiers 1

IdentifierTypeStateIssuer
87215OtherFLMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

6350 Sunset Dr
#2
South Miami, FL 33143
Phone (305) 667-5683

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1205026408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 SUNSET DR",
            "address_2": "2ND FLOOR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434836",
            "telephone_number": "305-667-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 SUNSET DR",
            "address_2": "2ND FLOOR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434836",
            "telephone_number": "305-667-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI FOOT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "KASHUK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-667-5683",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "87215",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.