NPIMap

Organization Active NPI

Tri County Podiatry PA

  • Foot Surgery Podiatrist
  • The Villages, FL
National Provider Identifier
1265458350
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO2795 Issued in FL
Legal business name
TRI COUNTY PODIATRY PA
Practice address
1585 Santa Barbara Blvd
Ste B
The Villages, FL 32159-6820
Phone
(352) 259-1919
Fax
(352) 259-2042
NPI assigned
Jul 14, 2006
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Mr. Felix J Esarey, DPM
Title
President
Phone
(352) 259-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO2795 FL Primary

Addresses

Primary practice location

1585 Santa Barbara Blvd
Ste B
The Villages, FL 32159-6820

Mailing address

1585 Santa Barbara Blvd
Ste B
The Villages, FL 32159-6820
Phone (352) 259-1919

Other identifiers 3

IdentifierTypeStateIssuer
193665OtherFLFIRST HEALTH NETWORK
DE3612OtherFLRAILROAD
65623OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060124000550 FL Part B Supplier - Clinic/Group Practice 6800810227 Receives reassigned benefits from 9 practitioners
Practice locations: The Villages, FL

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

1585 Santa Barbara Blvd
#B
The Villages, FL 32159
Phone (352) 259-1919

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1265458350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "STE B",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-259-1919",
            "fax_number": "352-259-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "STE B",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-259-1919",
            "fax_number": "352-259-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "ESAREY",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-259-1919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "193665",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DE3612",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.