Timothy C. Runyon, DPM, PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

TIMOTHY C. RUNYON, DPM, PA

Practice address

2595 Tampa Rd Ste O
Palm Harbor, FL 34684-3131

Phone

(727) 785-5611

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Kyle J Kinmon

Title

President

Phone

(561) 995-0229

Specialties & licenses 3

Addresses

Other names 1

• Certified Foot & Ankle Specialists Doing business as

Electronic endpoints 1

Tax ID family

Timothy C Runyon DPM PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Timothy C. Runyon, DPM, PA

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1407514334
  NPD tax ID
• Timothy C. Runyon, DPM, PA

  • Non-Pharmacy Dispensing Site
  • Cape Coral, FL
  • NPI 1700540549
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy C Runyon, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
  • NPI 1881657740
  NPD (past)

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1235897166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044123",
            "telephone_number": "727-894-0794",
            "fax_number": "727-895-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE O",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843131",
            "telephone_number": "727-785-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C. RUNYON, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KINMON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-995-0229"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.certifedfoot.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2595 Tampa Rd Ste O",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346843131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Certified Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Certified Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tidewater Foot & Ankle Associates, Inc.
• Tidewater Foot & Ankle Associates, Inc.
• Tina Marie Tiernan, OTRL
• Douglas F Tight, PA
• Harriet Delores Tillman
• Timothy T. McLaughlin, M.D., P.a.
• Ruth Tipton, MSW, LCSW
• Judith M Tommell, MPT
• Melissa Dawn Torres, D.O.
• Seth Towers

• Non-Pharmacy Dispensing Site in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.