Organization Active NPI

Foot and Ankle Physicians P a

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1326100579
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1435 Issued in FL
Legal business name
FOOT AND ANKLE PHYSICIANS P A
Practice address
2430 Estancia Blvd Ste 114
Clearwater, FL 33761-2607
Phone
(727) 796-0565
Fax
(727) 796-7464
NPI assigned
Dec 14, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Jaye Stahl
Title
Practice Manager
Phone
(727) 796-0565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO1435 FL Primary

Addresses

Primary practice location

2430 Estancia Blvd Ste 114
Clearwater, FL 33761-2607

Mailing address

2430 Estancia Blvd Ste 114
Clearwater, FL 33761-2607
Phone (727) 796-0565

Other identifiers 1

IdentifierTypeStateIssuer
270006900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050804000102 FL Part B Supplier - Clinic/Group Practice 4880623479 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL
O20100930100729 FL DME Supplier - Physician - Podiatry 4880623479 Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

2350 Sunset Point Rd
Ste A
Clearwater, FL 33765
Phone (727) 796-0565

Practitioners & affiliated clinicians

Practitioners 6

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1326100579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ESTANCIA BLVD STE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612607",
            "telephone_number": "727-796-0565",
            "fax_number": "727-796-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESTANCIA BLVD STE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612607",
            "telephone_number": "727-796-0565",
            "fax_number": "727-796-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE PHYSICIANS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "JAYE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-796-0565"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270006900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.