Active NPI
Cortez Foot Surgery Center, P.a.
- Ambulatory Surgical Clinic/Center
- Bradenton, FL
National Provider Identifier
1225077241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1033
- 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, 2020
- 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
- Cara L Olson
- Title
- Credentialing
- Phone
- (941) 758-4608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB2136 | Other | FL | RR GROUP PROVIDER # |
| 490001091 | Other | FL | RR MEDICARE INDIVIDUAL PROVIDER # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinical@CFAS.directbygreenway.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1087058 | Cortez Foot Surgery Center | Certificate of waiver | Jul 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
1800 Cortez Rd W
Ste B
Bradenton, FL 34207
Phone (813) 758-4608
Interoperability endpoints
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Bradenton, FL
- NPI 1588656169
-
- Foot & Ankle Surgery Podiatrist
- University Park, FL
- NPI 1750383477
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
- Cortes Family Physicians, P.a.
- Cristobal Eduardo Cortes, D.O.
- Cortez Dentistry, PLLC
- Cortez Foot & Ankle Specialists, P.a.
- Cortez Foot & Ankle Specialists, PA
- Cortez House Inc (Cortez House Assisted Living Facility)
- Cortez Injury Care LLC
- Cortez Knee and Sports Medicine, LLC
- Cortez Vision Center LLC
- Cortez Wellness Center
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.