Organization Active NPI

Apex Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1356733554
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3600 Issued in FL
Legal business name
APEX FOOT & ANKLE CENTER
Practice address
9400 Gladiolus Dr
Suite 300
Fort Myers, FL 33908-6699
Phone
(239) 433-0064
Fax
(239) 433-0224
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Dr. Charles Robert Dushack III, DPMNPI 1518167428
Title
Ceo
Phone
(724) 309-7944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3600 FL Primary

Addresses

Primary practice location

9400 Gladiolus Dr
Suite 300
Fort Myers, FL 33908-6699

Mailing address

9400 Gladiolus Dr
Suite 300
Fort Myers, FL 33908-6699
Phone (239) 433-0064

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150408001583 FL Part B Supplier - Clinic/Group Practice 7416275185 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Myers, FL; Naples, FL
O20170125003073 FL DME Supplier - Physician - Podiatry 7416275185 Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory
Tax ID family
Apex Foot Ankle Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3435 Pine Ridge Rd
Ste 102
Naples, FL 34109
Phone (239) 260-7476

6945 Carlisle Ct
Naples, FL 34109
Phone (239) 249-6877

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1356733554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "SUITE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-433-0064",
            "fax_number": "239-433-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "SUITE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-433-0064",
            "fax_number": "239-433-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "DUSHACK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-309-7944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.