NPIMap

Organization Active NPI

Orlando Foot and Ankle Clinic, Inc

Doing business as Orlando Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
National Provider Identifier
1235559188
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ORLANDO FOOT AND ANKLE CLINIC, INC
Doing business as
Orlando Foot and Ankle Clinic
Practice address
10417 Moss Park Rd
Orlando, FL 32832
Phone
(407) 737-2751
Fax
(407) 781-5649
NPI assigned
Apr 18, 2014
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Gregory J Renton
Title
Ceo
Phone
(407) 423-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

10417 Moss Park Rd
Orlando, FL 32832

Mailing address

PO Box 140233
Orlando, FL 32814-0233
Phone (407) 423-1234

Other identifiers 1

IdentifierTypeStateIssuer
029602300MedicaidFL

Other names 1

  • Orlando Foot and Ankle Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000171 FL Part B Supplier - Clinic/Group Practice 6709778632 Receives reassigned benefits from 20 practitioners
16 other NPIs on this enrollment
Practice locations: Winter Park, FL; Winter Garden, FL; Saint Cloud, FL; Oviedo, FL; Orlando, FL; Ocoee, FL; Melbourne, FL; Lake Mary, FL…

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

126 Goodrich Ave
#106
Apopka, FL 32703
Phone (407) 410-1234

210 Rinehart Rd
#100
Lake Mary, FL 32746
Phone (407) 323-1234

1523 S Orange Ave
Orlando, FL 32806
Phone (321) 423-1234

2014 S Orange Ave
Ste 100
Orlando, FL 32806
Phone (407) 603-3900

250 N Alafaya Trl
Ste 105
Orlando, FL 32828
Phone (407) 447-1020

3165 McCrory Pl
Ste 174
Orlando, FL 32803
Phone 40742312341003

8400 Red Bug Lake Rd
Ste 2030
Oviedo, FL 32765
Phone (407) 378-1587

1525 Budinger Ave
Saint Cloud, FL 34769
Phone (407) 498-3670

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1235559188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140233",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328140233",
            "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": "10417 MOSS PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-737-2751",
            "fax_number": "407-781-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FOOT AND ANKLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "RENTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-423-1234"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029602300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orlando Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.