Active NPI
Foot and Ankle Medical Center PLLC
- Podiatrist
- Palm Harbor, FL
National Provider Identifier
1306218615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT AND ANKLE MEDICAL CENTER PLLC
- Practice address
- 3720 Tampa Rd
Palm Harbor, FL 34684 - Phone
- (727) 781-4220
- Fax
- (727) 375-4291
- NPI assigned
- Oct 26, 2015
- Organization subpart
- Yes
- Parent organization
- FOOT AND ANKLE MEDICAL CENTER PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David M Allen, DPM
- Title
- Owner
- Phone
- (727) 847-2406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | FL | Primary |
Addresses
Primary practice location
3720 Tampa Rd
Palm Harbor, FL 34684
Mailing address
5155 Deer Park Dr
Unit a-2
New Port Richey, FL 34653-7013
Phone (727) 847-2406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160825001495 | FL | Part B Supplier - Clinic/Group Practice | 4082907431 |
Receives reassigned benefits from 4 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Palm Harbor, FL; Port Richey, FL; Spring Hill, FL; Tampa, FL; Trinity, FL; Zephyrhills, FL; Springhill, FL; New Port Richey, FL… |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Foot Ankle Medical CNTR PL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528329600000",
"number": "1306218615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 DEER PARK DR",
"address_2": "UNIT A-2",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346537013",
"telephone_number": "727-847-2406",
"fax_number": "727-841-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 TAMPA RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34684",
"telephone_number": "727-781-4220",
"fax_number": "727-375-4291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE MEDICAL CENTER PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOOT AND ANKLE MEDICAL CENTER PLLC",
"enumeration_date": "2015-10-26",
"last_updated": "2018-06-07",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-847-2406",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.