Active NPI
Timmy Truong, D.P.M.
- Foot & Ankle Surgery Podiatrist
- North Port, FL
National Provider Identifier
1245645191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO 3876
- Practice address
- 12757 S. Tamiami Trail
North Port, FL 34287 - Phone
- (941) 426-1167
- NPI assigned
- Jun 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3876 | FL | Primary |
Addresses
Primary practice location
12757 S. Tamiami Trail
North Port, FL 34287
Mailing address
12757 Tamiami TRL S
North Port, FL 34287-1934
Phone (941) 426-1167
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3876 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott P Kurecki DPM PA | Current | Accepting new patients | |
| Integrative Foot and Ankle LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
12757 Tamiami Trl S
North Port, FL 34287
Phone (941) 426-1167
5405 Okeechobee Blvd
Ste 303
West Palm Beach, FL 33417
Phone (561) 293-3439
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatric Clinic/Center
- North Port, FL
- NPI 1851578918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1245645191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12757 TAMIAMI TRL S",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342871934",
"telephone_number": "941-426-1167",
"fax_number": "941-426-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12757 S. TAMIAMI TRAIL",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "34287",
"telephone_number": "941-426-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "TIMMY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-29",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.