Organization Active NPI

Southwest Foot & Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Lakewood Ranch, FL
National Provider Identifier
1245763895
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOUTHWEST FOOT & ANKLE LLC
Practice address
6310 Health Park Way
Suite 345
Lakewood Ranch, FL 34202-5177
Phone
(941) 256-9191
NPI assigned
Apr 10, 2017
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Brian Rell, DPMNPI 1124184064
Title
Owner
Phone
(941) 713-6725

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
Foot & Ankle Surgery Podiatrist 213ES0103X FL Primary

Addresses

Primary practice location

6310 Health Park Way
Suite 345
Lakewood Ranch, FL 34202-5177

Mailing address

6310 Health Park Way
Suite 345
Lakewood Ranch, FL 34202-5177
Phone (941) 256-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170606003002 FL Part B Supplier - Clinic/Group Practice 2860769239 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory

Locations

6310 Health Park Way
Ste 230
Lakewood Ranch, FL 34202
Phone (941) 907-1113

6310 Health Park Way
Ste 345
Lakewood Ranch, FL 34202
Phone (941) 256-9191

Practitioners & affiliated clinicians

Practitioners 1

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": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1245763895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY",
            "address_2": "SUITE 345",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-256-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY",
            "address_2": "SUITE 345",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-256-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "RELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-713-6725",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.