Gentle Foot Care Clinic, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GENTLE FOOT CARE CLINIC, PA

Doing business as

Gentle Foot Care Clinic

Practice address

38192 Medical Center Ave
Zephyrhills, FL 33540-1380

Phone

(813) 782-3233

Fax

(813) 502-5904

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Jairo B Cruz, DPMNPI 1609163153

Title

Medical Director/Owner

Phone

(813) 782-3233

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Gentle Foot Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gentle Foot Care Clinic, PA

  • Foot & Ankle Surgery Podiatrist
  • Brandon, FL
  • NPI 1750097176
  NPPES parent name

Practitioners 3

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

• Jairo B Cruz Jr., DPM

  • Podiatrist
  • Zephyrhills, FL
  • NPI 1609163153
  Medicare reassignment NPD Authorized official
• Mohammad Majed Abuamaish, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
  • NPI 1073398954
  Medicare reassignment NPD
• Olesya Palko, DPM

  • Podiatrist
  • Lutz, FL
  • NPI 1386105211
  Medicare reassignment NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1326058249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38192 MEDICAL CENTER AVE.",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33540",
            "telephone_number": "813-782-3233",
            "fax_number": "813-782-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38192 MEDICAL CENTER AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401380",
            "telephone_number": "813-782-3233",
            "fax_number": "813-502-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Lithia Pinecrest Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116114",
            "country_code": "US",
            "telephone_number": "813-782-3233",
            "fax_number": "813-502-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENTLE FOOT CARE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "813-782-3233",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "O0PH6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114053400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K5490",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "DB7111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Foot Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gentle Foot Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gardens of Westbrooke LLC (Gardens of Westbrooke)
• Selenne Rubi Garnelo
• Cindi Garrett, MS, CCC/SLP
• Alexa Gebhardt, APRN
• Nicole Geier
• George Forster Dba Zephyrhills Chiropractic Clinic
• Helmy Ghaly, RPH
• Abdul Ghani, MD
• Elizabeth Rose Glazener
• Shana Gober, APRN

• Foot & Ankle Surgery Podiatrist in Zephyrhills, FL
• Providers in Zephyrhills, 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 Jan 3, 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.