NPIMap

Organization Active NPI

Ankle & Foot Center of Tampa Bay

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1265419964
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ANKLE & FOOT CENTER OF TAMPA BAY
Practice address
2835 W de Leon St
Suite 101
Tampa, FL 33609-4168
Phone
(813) 254-6592
Fax
(813) 254-3634
NPI assigned
Dec 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Robert E Creighton, DPMNPI 1487631065
Title
Member
Phone
(813) 254-4747

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2835 W de Leon St
Suite 101
Tampa, FL 33609-4168

Mailing address

2835 W de Leon St
Suite 101
Tampa, FL 33609-4168
Phone (813) 254-6592

Other identifiers 1

IdentifierTypeStateIssuer
97860OtherFLBCBS

Other names 1

  • Ankle & Foot Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041221001020 FL Part B Supplier - Clinic/Group Practice 9133187107 Receives reassigned benefits from 24 practitioners
Practice locations: Bradenton, FL; Zephyrhills, FL; Trinity, FL; Tampa, FL; Riverview, FL; Pinellas Park, FL; Plant City, FL; Brandon, FL…
O20100930066528 FL DME Supplier - Physician - Podiatry 9133187107 Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Ankle and Ft Ctr of Tpa6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3491 Gandy Blvd N
Ste 107
Pinellas Park, FL 33781
Phone (727) 273-7694

1408 W Reynolds St
Plant City, FL 33563
Phone (813) 733-5926

13049 Summerfield Square Dr
Ste B
Riverview, FL 33578
Phone (813) 671-3100

13389 N 56th St
Tampa, FL 33617
Phone (813) 945-8568

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1265419964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094168",
            "telephone_number": "813-254-6592",
            "fax_number": "813-254-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094168",
            "telephone_number": "813-254-6592",
            "fax_number": "813-254-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE & FOOT CENTER OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "CREIGHTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-254-4747",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle & Foot Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ankle & Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.