Organization Active NPI

Cortez Foot Surgery Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Bradenton, FL
National Provider Identifier
1225077241
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1033 Issued in FL
Legal business name
CORTEZ FOOT SURGERY CENTER, P.A.
Practice address
1800 Cortez Rd W
Suite B
Bradenton, FL 34207-1335
Phone
(941) 758-4608
Fax
(941) 758-4438
NPI assigned
Jun 5, 2006
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Cara L Olson
Title
Credentialing
Phone
(941) 758-4608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1033 FL Primary

Addresses

Primary practice location

1800 Cortez Rd W
Suite B
Bradenton, FL 34207-1335

Mailing address

1800 Cortez Rd W
Suite B
Bradenton, FL 34207-1335
Phone (941) 758-4608

Other identifiers 2

IdentifierTypeStateIssuer
CB2136OtherFLRR GROUP PROVIDER #
490001091OtherFLRR MEDICARE INDIVIDUAL PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@CFAS.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000520 FL Part B Supplier - Ambulatory Surgical Center 7911096789 Practice locations: Bradenton, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cortez Foot Surgery Center PACCN 10C0001081
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1087058Cortez Foot Surgery Center1800 Cortez Rd W Ste B, Bradenton, FL 34207Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

Locations

1800 Cortez Rd W
Ste B
Bradenton, FL 34207
Phone (813) 758-4608

Interoperability endpoints

  • Direct secure messaging: clinical@cfas.directbygreenway.com

Practitioners & affiliated clinicians

Practitioners 2

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": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1225077241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CORTEZ RD W",
            "address_2": "SUITE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071335",
            "telephone_number": "941-758-4608",
            "fax_number": "941-758-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CORTEZ RD W",
            "address_2": "SUITE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071335",
            "telephone_number": "941-758-4608",
            "fax_number": "941-758-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEZ FOOT SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "941-758-4608"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP PROVIDER #",
            "identifier": "CB2136",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL PROVIDER #",
            "identifier": "490001091",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@CFAS.directbygreenway.com",
            "affiliation": "N",
            "address_1": "1800 Cortez Rd W",
            "address_2": "Suite B",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342071335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.