Organization Active NPI

Shanahan Podiatry PA

  • Foot & Ankle Surgery Podiatrist
  • Sun City Center, FL
National Provider Identifier
1366630220
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3134 Issued in FL
Legal business name
SHANAHAN PODIATRY PA
Practice address
3909 Galen CT
Suite 103
Sun City Center, FL 33573-6824
Phone
(813) 634-0664
Fax
(813) 634-0668
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Mrs. Margaret Julia Henry
Title
Ar Technologies
Phone
(813) 685-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3134 FL Primary

Addresses

Primary practice location

3909 Galen CT
Suite 103
Sun City Center, FL 33573-6824

Mailing address

3909 Galen CT
Suite 103
Sun City Center, FL 33573-6824
Phone (813) 634-0664

National Provider Directory

National Provider Directory

Locations

3909 Galen Ct
Ste 103
Sun City Center, FL 33573
Phone (727) 787-4379

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1366630220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 GALEN CT",
            "address_2": "SUITE 103",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736824",
            "telephone_number": "813-634-0664",
            "fax_number": "813-634-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 GALEN CT",
            "address_2": "SUITE 103",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736824",
            "telephone_number": "813-634-0664",
            "fax_number": "813-634-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANAHAN PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "AR TECHNOLOGIES",
        "authorized_official_telephone_number": "813-685-6226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.