NPIMap

Organization Active NPI

Orlando Foot & Ankle Clinic, Inc

Doing business as Orlando Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Longwood, FL
National Provider Identifier
1356721278
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ORLANDO FOOT & ANKLE CLINIC, INC
Doing business as
Orlando Foot & Ankle Clinic
Practice address
160 Islander CT
Longwood, FL 32750
Phone
(407) 423-1234
NPI assigned
Jun 5, 2015
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Gregory Renton
Title
Ceo
Phone
(407) 423-1234

Specialties & licenses 1

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

Addresses

Primary practice location

160 Islander CT
Longwood, FL 32750

Mailing address

3165 McCrory PL Ste 174
Orlando, FL 32803-3727
Phone (407) 423-1234

Other identifiers 1

IdentifierTypeStateIssuer
029602300MedicaidFL

Other names 1

  • Orlando Foot & Ankle Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orlando Foot and Ankle12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1356721278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 MCCRORY PL STE 174",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033727",
            "telephone_number": "407-423-1234",
            "fax_number": "407-517-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ISLANDER CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32750",
            "telephone_number": "407-423-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FOOT & ANKLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "RENTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-423-1234"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029602300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orlando Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.