Ixsa's Foot and Ankle Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3300 Issued in FL

Legal business name

IXSA'S FOOT AND ANKLE INC

Practice address

4343 W Flagler St
Suite 400
Coral Gables, FL 33134-1586

Phone

(954) 592-0898

NPI assigned

Jun 28, 2007

Last updated

Jun 24, 2009By 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

Ixsa Tanya Garcia, DPM

Title

Owner

Phone

(952) 592-0898

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1316144835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 N STATE ROAD 7",
            "address_2": "APT 103",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136634",
            "telephone_number": "954-592-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W FLAGLER ST",
            "address_2": "SUITE 400",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341586",
            "telephone_number": "954-592-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IXSA'S FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IXSA",
        "authorized_official_middle_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-592-0898",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "65954",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340653900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.