Individual provider Active NPI

Steven K Greenhut, DPM

  • Foot Surgery Podiatrist
  • Callahan, FL
National Provider Identifier
1316912322
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO1438 Issued in FL
Practice address
542067 US Hwy 1
Callahan, FL 32011-8110
Phone
(904) 879-2552
Fax
(904) 879-6360
NPI assigned
Feb 22, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO1438 FL Primary

Addresses

Primary practice location

542067 US Hwy 1
Callahan, FL 32011-8110

Mailing address

PO Box 1578
Callahan, FL 32011
Phone (904) 879-2552

Other identifiers 1

IdentifierTypeStateIssuer
0412431-01MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1438FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Friedman & Greenhut, DPM, PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1316912322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1578",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "32011",
            "telephone_number": "904-879-2552",
            "fax_number": "904-879-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542067 US HWY 1",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320118110",
            "telephone_number": "904-879-2552",
            "fax_number": "904-879-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHUT",
        "first_name": "STEVEN",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO1438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412431-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Callahan, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.