Pga Foot and Ankle PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PO2182 Issued in FL

Legal business name

PGA FOOT AND ANKLE PA

Practice address

5610 Pga Blvd
Ste 212
Palm Beach Gardens, FL 33418-3838

Phone

(561) 776-7047

Fax

(561) 776-7049

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. E Charisse Dunn, DPMNPI 1245347582

Title

Owner

Phone

(561) 776-7047

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• E Charisse Dunn, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palm Beach Gardens, FL
  • NPI 1245347582
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1245403260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 PGA BLVD",
            "address_2": "STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183838",
            "telephone_number": "561-776-7047",
            "fax_number": "561-776-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 PGA BLVD",
            "address_2": "STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183838",
            "telephone_number": "561-776-7047",
            "fax_number": "561-776-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGA FOOT AND ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "CHARISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-776-7047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Pewitt
• Wanda Lo Pfeifer, MME, CO, COMT, OC(C)
• Pga Chiropractic Health Center PA
• Pga Chiropractic Health Center PA
• Pga Eye Associates,LLC (PGA Eye Associates)
• Pga Medical Center, Inc.
• PHBH LLC (Sunspire Health Recovery Road)
• Philip Jay Scharfer, MD, PA
• Philip Miller MD PA
• Islande Philippe Michel, APRN

• Durable Medical Equipment & Medical Supplies in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.