Active NPI
Podiatry Foot and Ankle Care PLLC
- Foot & Ankle Surgery Podiatrist
- St Petersburg, FL
National Provider Identifier
1306160270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3257
- 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
- Last updated
- Feb 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julian Robert Menendez, DPM
- Title
- Owner/Physician
- Phone
- (727) 544-5425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3257 | FL | Primary |
Addresses
Primary practice location
5415 Park St N
Suite C
Saint Petersburg, FL 33709-1087
Mailing address
5415 Park St N
Suite C
Saint Petersburg, FL 33709-1087
Phone (727) 544-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-myrecord.cerner.com/r4/tW68ZW-Hmy7Lzce-ns8ohuxjCYcMJFzU/
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": "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": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- 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.