Podiatry Foot and Ankle Care PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3257 Issued in FL

Legal business name

PODIATRY FOOT AND ANKLE CARE PLLC

Practice address

5415 Park St N
Suite C
Saint Petersburg, FL 33709-1087

Phone

(727) 544-5425

Fax

(727) 544-5440

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Julian Robert Menendez, DPMNPI 1669483517

Title

Owner/Physician

Phone

(727) 544-5425

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/tW68ZW-Hmy7Lzce-ns8ohuxjCYcMJFzU/

Practitioners 1

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

• Julian Robert Menendez, DPM

  • Podiatrist
  • St Petersburg, FL
  • NPI 1669483517

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1306160270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 PARK ST N",
            "address_2": "SUITE C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337091087",
            "telephone_number": "727-544-5425",
            "fax_number": "727-544-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 PARK ST N",
            "address_2": "SUITE C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337091087",
            "telephone_number": "727-544-5425",
            "fax_number": "727-544-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY FOOT AND ANKLE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "727-544-5425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1306160270",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF WORKERS COMPENSATION",
            "identifier": "615430600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "P00835981",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS BENEFIT PLAN",
            "identifier": "3482826",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "65944",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CY302A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "615430600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER ID",
            "identifier": "6413570001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1360219",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DQ3766",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Plumb
• Elizabeth Lynne Plumley
• Teri Salter Plumridge, MA, CCC
• Olta Plunkett, APRN
• PMG Inpatient Services LLC
• Dianne C Podis, C.R.N.A.
• Stefanie Poehacker, PHD
• Logan Elizabeth Poer, BASW
• Logan D Poff, DMD
• Hembree Wade Poindexter

• Foot & Ankle Surgery Podiatrist in Saint Petersburg, FL
• Providers in Saint Petersburg, 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 Feb 16, 2023; 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.