NPIMap

Organization Active NPI

Foot and Ankle Medical Center, PLLC

  • Podiatrist
  • New Port Richey, FL
National Provider Identifier
1386098226
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT AND ANKLE MEDICAL CENTER, PLLC
Practice address
5141 Deer Park Dr Ste 1C
New Port Richey, FL 34653
Phone
(727) 847-2406
Fax
(727) 841-0567
NPI assigned
Apr 18, 2016
Last updated
Sep 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
David M Allen, DPMNPI 1982746863
Title
Owner/President
Phone
(727) 847-2406

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
Podiatrist 213E00000X FL Primary

Addresses

Primary practice location

5141 Deer Park Dr Ste 1C
New Port Richey, FL 34653

Mailing address

5141 Deer Park Dr Unit 1C
New Port Richey, FL 34653-7013
Phone (727) 847-2406

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160825001495 FL Part B Supplier - Clinic/Group Practice 4082907431 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Palm Harbor, FL; Port Richey, FL; Spring Hill, FL; Tampa, FL; Trinity, FL; Zephyrhills, FL; Springhill, FL; New Port Richey, FL…
O20160915002524 FL DME Supplier - Physician - Podiatry 4082907431 Practice locations: New Port Richey, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foot Ankle Medical CNTR PL3 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

5141 Deer Park Dr
#1C
New Port Richey, FL 34653
Phone (727) 847-2406

5141 Deer Park Dr
Unit 1C
New Port Richey, FL 34653

Practitioners & affiliated clinicians

Practitioners 5

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": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1386098226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 DEER PARK DR UNIT 1C",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-847-2406",
            "fax_number": "727-841-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 DEER PARK DR STE 1C",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-847-2406",
            "fax_number": "727-841-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-847-2406",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.