Active NPI
Timothy P Mason DPM PA
- Foot & Ankle Surgery Podiatrist
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3355
- Legal business name
- TIMOTHY P MASON DPM PA
- Practice address
- 2645 W State Road 426 Ste 1101
Oviedo, FL 32765-8371 - Phone
- (407) 365-9511
- Fax
- (407) 365-9311
- NPI assigned
- Apr 15, 2009
- 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
- Dr. Timothy P Mason, D. P. M.
- Title
- Administrator
- Phone
- (407) 365-9511
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3355 | FL | Primary |
Addresses
Primary practice location
2645 W State Road 426 Ste 1101
Oviedo, FL 32765-8371
Mailing address
2645 W State Road 426 Ste 1101
Oviedo, FL 32765-8371
Phone (407) 365-9511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001354900 | Medicaid | FL |
Other names 1
- Foot and Ankle Specialists of Orlando
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2645 W State Road 426
Ste 101
Oviedo, FL 32765
Phone (407) 365-9511
1000 W Broadway St
Ste 103
Oviedo, FL 32765
Phone (407) 365-9511
2645 W State Road 426
#1101
Oviedo, FL 32765
Phone (407) 365-9511
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Oviedo, FL
- NPI 1366642373
-
- Foot & Ankle Surgery Podiatrist
- Lady Lake, FL
- NPI 1396757878
-
- Foot & Ankle Surgery Podiatrist
- Lake Mary, FL
- NPI 1710979554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1205079571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 W STATE ROAD 426 STE 1101",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658371",
"telephone_number": "407-365-9511",
"fax_number": "407-365-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 W STATE ROAD 426 STE 1101",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658371",
"telephone_number": "407-365-9511",
"fax_number": "407-365-9311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY P MASON DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-15",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-365-9511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. P. M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001354900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot and Ankle Specialists of Orlando",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.