NPIMap

Organization Active NPI

Orlando Foot and Ankle Clinic, Inc

  • Foot & Ankle Surgery Podiatrist
  • Altamonte Sprgs, FL
National Provider Identifier
1295849867
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ORLANDO FOOT AND ANKLE CLINIC, INC
Practice address
499 E Central Parkwy
Ste 120
Altamonte Sprgs, FL 32701
Phone
(407) 331-7844
Fax
(407) 478-3595
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Gregory Renton
Title
Ceo
Phone
(407) 423-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

499 E Central Parkwy
Ste 120
Altamonte Sprgs, FL 32701

Mailing address

PO Box 140233
Orlando, FL 32814-0233
Phone (407) 423-1234

Other identifiers 2

IdentifierTypeStateIssuer
029602300MedicaidFL
DB3528OtherFLR/R MEDICARE

Other names 1

  • Orlando Foot & Ankle Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000171 FL Part B Supplier - Clinic/Group Practice 6709778632 Receives reassigned benefits from 20 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Park, FL; Winter Garden, FL; Saint Cloud, FL; Oviedo, FL; Orlando, FL; Ocoee, FL; Melbourne, FL; Lake Mary, FL…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

  • John G. Durham, DPM
    • Foot & Ankle Surgery Podiatrist
    • Altamonte Springs, FL
    • NPI 1235103268

    Foot & Ankle Surgery

    NPD
  • David B Moats, DPM
    • Foot & Ankle Surgery Podiatrist
    • Orlando, FL
    • NPI 1154395069

    Foot & Ankle Surgery

    NPD

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1295849867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140233",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328140233",
            "telephone_number": "407-423-1234",
            "fax_number": "407-517-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PARKWY",
            "address_2": "STE 120",
            "city": "ALTAMONTE SPRGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-331-7844",
            "fax_number": "407-478-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FOOT AND ANKLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "RENTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-423-1234"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029602300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "DB3528",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orlando Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.