NPIMap

Organization Active NPI

Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Marathon, FL
National Provider Identifier
1275721680
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
SOUTHERNMOST FOOT AND ANKLE SPECIALISTS
Practice address
2855 Overseas Hwy
Marathon, FL 33050-2239
Phone
(305) 242-6494
NPI assigned
Oct 10, 2007
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Bradley Makimaa, DPM,FACFAS
Title
Physician
Phone
(305) 246-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X Primary

Addresses

Primary practice location

2855 Overseas Hwy
Marathon, FL 33050-2239

Mailing address

975 Baptist Way
#101
Homestead, FL 33033-7600
Phone (305) 246-4774

Other identifiers 1

IdentifierTypeStateIssuer
390458000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Smfas Homestead6 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

2855 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-2253

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1275721680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "#101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-246-4774",
            "fax_number": "305-248-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502239",
            "telephone_number": "305-242-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNMOST FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "MAKIMAA",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-246-4774",
        "authorized_official_credential": "DPM,FACFAS"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390458000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.