Organization Active NPI

Ankle & Foot Specialists PA

  • Foot & Ankle Surgery Podiatrist
  • Pensacola, FL
National Provider Identifier
1396994166
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2112 Issued in FL
Legal business name
ANKLE & FOOT SPECIALISTS PA
Practice address
12385 Sorrento Rd
Suite D-4
Pensacola, FL 32507-8664
Phone
(850) 497-8876
Fax
(850) 497-1721
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Kinley Wayne Howard, D.P.M, C.R.N.A.NPI 1629049408
Title
Owner
Phone
(850) 497-8876

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO2112 FL Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X ARNP2539562 FL
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X ARNP2539562 FL

Addresses

Primary practice location

12385 Sorrento Rd
Suite D-4
Pensacola, FL 32507-8664

Mailing address

12385 Sorrento Rd
Suite D-4
Pensacola, FL 32507-8664
Phone (850) 497-8876

Other identifiers 3

IdentifierTypeStateIssuer
340655500MedicaidFL
307772100MedicaidFL
10729640OtherFLCAQH

National Provider Directory

National Provider Directory

Locations

1229 Airport Rd
Panama City, FL 32405
Phone (850) 215-6770

Practitioners & affiliated clinicians

Practitioners 1

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": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1396994166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD",
            "address_2": "SUITE D-4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078664",
            "telephone_number": "850-497-8876",
            "fax_number": "850-497-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD",
            "address_2": "SUITE D-4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078664",
            "telephone_number": "850-497-8876",
            "fax_number": "850-497-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE & FOOT SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KINLEY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-497-8876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M, C.R.N.A."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2112",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2539562",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2539562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340655500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307772100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10729640",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.