Podiatrist on Call, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3922 Issued in FL

Legal business name

PODIATRIST ON CALL, LLC

Practice address

2720 Park St Ste 210
Jacksonville, FL 32205-7645

Phone

(904) 707-8769

Fax

(844) 663-5325

NPI assigned

Jun 4, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Troy Adam Harris, DPMNPI 1699053819

Title

Manager

Phone

(904) 707-8769

Specialties & licenses 1

Addresses

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.

• Troy A Harris, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1699053819
  Authorized official Same address or phone

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295264224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 LANCASTER TER APT 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044116",
            "telephone_number": "904-707-8769",
            "fax_number": "844-663-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 PARK ST STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057645",
            "telephone_number": "904-707-8769",
            "fax_number": "844-663-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIST ON CALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-707-8769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.