Organization Active NPI

Foundations Foot and Ankle LLC

  • Podiatrist
  • Brooksville, FL
National Provider Identifier
1407218092
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3695 Issued in FL
Legal business name
FOUNDATIONS FOOT AND ANKLE LLC
Practice address
22319 Powell Rd
Brooksville, FL 34602-5705
Phone
(352) 650-9573
Fax
(513) 858-7827
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Adam Trinque, DPM
Title
Owner
Phone
(352) 650-9573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3695 FL Primary

Addresses

Primary practice location

22319 Powell Rd
Brooksville, FL 34602-5705

Mailing address

22319 Powell Rd
Brooksville, FL 34602-5705
Phone (352) 650-9573

Other identifiers 1

IdentifierTypeStateIssuer
018641900MedicaidFL

National Provider Directory

National Provider Directory

Locations

7281 Sunshine Grove Rd
Ste 118
Brooksville, FL 34613
Phone (352) 631-7838

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1407218092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22319 POWELL RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346025705",
            "telephone_number": "352-650-9573",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22319 POWELL RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346025705",
            "telephone_number": "352-650-9573",
            "fax_number": "513-858-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "TRINQUE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-650-9573",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018641900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.