Foot & Ankle Specialists of Jacksonville, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3048 Issued in FL

Legal business name

FOOT & ANKLE SPECIALISTS OF JACKSONVILLE, INC.

Practice address

3890 Dunn Ave
Ste 101
Jacksonville, FL 32218-6428

Phone

(904) 619-9338

Fax

(904) 619-9677

NPI assigned

Dec 27, 2011

Last updated

Feb 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugene E. Ruckh, D.P.M.NPI 1851352082

Title

President

Phone

(904) 619-9338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Eugene E. Ruckh, D.P.M.

  • Podiatrist
  • Jacksonville, FL
  • NPI 1851352082
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1205105939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186428",
            "telephone_number": "904-619-9338",
            "fax_number": "904-619-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186428",
            "telephone_number": "904-619-9338",
            "fax_number": "904-619-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF JACKSONVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "RUCKH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-619-9338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellanid Fonseca
• Stephanie Marie Font Diaz, MD
• Cristina Michelle Font, MD
• Emily Fontane, MD
• Tabetha Foose, RD, LD/N
• Foot Ankle & Wound Care Center Corp
• Foot Clinic-Dr. S.F. Wernow
• Foot Services by Jaynell M Smith-Cameron
• Lauren Lynne Foote, CCC-SLP
• James Foran, MD

• Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.