Individual provider Active NPI

John G. Durham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Altamonte Springs, FL
National Provider Identifier
1235103268
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 2241 Issued in FL
Practice address
499 E Central Parkwy
Ste 120
Altamonte Springs, FL 32701
Phone
(407) 331-7844
Fax
(407) 478-3595
NPI assigned
Feb 15, 2006
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 2241 FL Primary

Addresses

Primary practice location

499 E Central Parkwy
Ste 120
Altamonte Springs, FL 32701

Mailing address

3165 McCrory PL
Ste 174
Orlando, FL 32803-3727
Phone (407) 423-1234

Other identifiers 2

IdentifierTypeStateIssuer
390041000MedicaidFL
P00112206OtherFLR/R MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000395 FL Practitioner - Podiatry 5496896607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

2111 Glenwood Dr
Suite 104
Winter Park, FL 32792-3328
Phone (407) 647-1550

247 Maitland Ave
Altamonte Springs, FL 32701-4904
Phone (407) 250-1208

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions1-10
Removal of nail tissue258
Removal or shaving of skin growth110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Foot and Ankle Clinic, Inc Foot & Ankle Surgery CurrentSince Dec 16, 1992 Accepting new patients
Orlando Foot and Ankle Clinic, Inc Foot & Ankle Surgery CurrentSince Dec 16, 1992 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients

Locations

247 Maitland Ave
Altamonte Springs, FL 32701
Phone (407) 250-1208

499 E Central Pkwy
Ste 120
Altamonte Springs, FL 32701
Phone (407) 331-7844

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

3165 McCrory Pl
Ste 174
Orlando, FL 32803
Phone 40742312341003

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

2111 Glenwood Dr
Ste 104
Winter Park, FL 32792
Phone (407) 258-2308

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: john.durham@ofac.directbygreenway.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1235103268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 MCCRORY PL",
            "address_2": "STE 174",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033727",
            "telephone_number": "407-423-1234",
            "fax_number": "407-517-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PARKWY",
            "address_2": "STE 120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-331-7844",
            "fax_number": "407-478-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "JOHN",
        "middle_name": "G.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 2241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390041000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "P00112206",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.