Affordable Foot and Leg, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 3321 Issued in FL

Legal business name

AFFORDABLE FOOT AND LEG, LLC

Practice address

2100 E Hallandale Beach Blvd
Suite 204
Hallandale Beach, FL 33009-3765

Phone

(954) 458-1248

Fax

(954) 458-1256

NPI assigned

Jun 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Craig B Stam, DPMNPI 1497926950

Title

Owner

Phone

(954) 458-1248

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Craig B Stam, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hallandale Beach, FL
  • NPI 1497926950
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1407177694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 204",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-458-1248",
            "fax_number": "954-458-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 204",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-458-1248",
            "fax_number": "954-458-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE FOOT AND LEG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "STAM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-458-1248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EF769B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6596300001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adventura Sickroom Supply, Inc.
• Aegis Management Solutions, Inc
• Aesthetemed, LLC
• Aevum Therapy & Consulting, LLC.
• Mark Aferzon, MD
• Affordable Hearing AIDS
• Victoria Agarkova I, RBT
• Ageless Body by New Science LLC
• Ageless Body Clinic, LLC
• Agm Behavioral Services LLC

• Podiatrist in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.