Beaton Podiatry Center Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO312 Issued in FL

Legal business name

BEATON PODIATRY CENTER INC

Practice address

6707 38TH Ave N
St Petersburg, FL 33710-1536

Phone

(727) 896-4615

Fax

(727) 256-3855

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Merkow

Title

Vice President

Phone

(727) 800-9958

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 13

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

• Konstantin Agarunov, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
  • NPI 1194130211

  Single Specialty

  Medicare reassignment Care Compare group NPD
• William J Beaton Jr., DPM

  • Podiatrist
  • St Petersburg, FL
  • NPI 1972507382
  Medicare reassignment Care Compare group NPD
• Shawniece Devon Boss, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
  • NPI 1629463401
  Medicare reassignment Care Compare group NPD
• Beth Robin Domino, APRN

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1295204741
  Medicare reassignment Care Compare group NPD
• Athena Flores, NP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1164024030
  Medicare reassignment Care Compare group NPD
• Katelyn Beebe Johnson, ARNP

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1497990782
  Medicare reassignment Care Compare group NPD
• Jennifer Kundrat, ARNP

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1174922769
  Medicare reassignment Care Compare group NPD
• Joanna Lynn Nightingale, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
  • NPI 1497392260
  Medicare reassignment Care Compare group NPD
• Yisel Ruiz, APRN

  • Family Nurse Practitioner
  • Oviedo, FL
  • NPI 1558956359
  Medicare reassignment Care Compare group NPD
• Evan Bradlee Brewer, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1548908874

  FL

  Medicare reassignment Care Compare group NPD
• Andrew Franklin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
  • NPI 1336557420
  Medicare reassignment NPD
• Bella Rebecca Worman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Largo, FL
  • NPI 1568431989
  Medicare reassignment NPD

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1366626541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-896-4615",
            "fax_number": "727-896-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-896-4615",
            "fax_number": "727-256-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATON PODIATRY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MERKOW",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-800-9958"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO312",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029521300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Bear
• Angela L Beard
• Aimee Leigh Beardslee, LMHC
• Anna Bearss
• Bearth Side Midwifery
• Beaton Podiatry Center Inc
• William J Beaton Jr., DPM
• Claudia Veronica Beattie, PA-C
• Darian Raquel Beau
• Frantz Venel Beaubrun, COTA

• Foot & Ankle Surgery Podiatrist in St Petersburg, FL
• Providers in St Petersburg, 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 Nov 7, 2025; 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.