Organization Active NPI

Village Foot & Ankle P a

  • Podiatrist
  • Wildwood, FL
National Provider Identifier
1235304387
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2852 Issued in FL
Legal business name
VILLAGE FOOT & ANKLE P A
Practice address
3200 County Road 507
Wildwood, FL 34785-8307
Phone
(352) 391-4242
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Uyen K Dao, D.P.M.NPI 1093725772
Title
President
Phone
(352) 391-4242

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2852 FL Primary

Addresses

Primary practice location

3200 County Road 507
Wildwood, FL 34785-8307

Mailing address

3200 County Road 507
Wildwood, FL 34785-8307
Phone (352) 391-4242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080904000415 FL Part B Supplier - Clinic/Group Practice 7517033160 Receives reassigned benefits from 1 practitioner
Practice locations: Summerfield, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1235304387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 COUNTY ROAD 507",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858307",
            "telephone_number": "352-391-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COUNTY ROAD 507",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858307",
            "telephone_number": "352-391-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FOOT & ANKLE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "UYEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-391-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.