Organization Active NPI

Miramar Podiatry and Surgery Institute LLC

  • Foot Surgery Podiatrist
  • Miramar, FL
National Provider Identifier
1427166594
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO 3243 Issued in FL
Legal business name
MIRAMAR PODIATRY AND SURGERY INSTITUTE LLC
Practice address
8910 Miramar Pkwy
Suite 117
Miramar, FL 33025-4100
Phone
(954) 442-6100
Fax
(954) 442-6202
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Nancy Alexis-Calixte, DPMNPI 1962433359
Title
Podiatrist
Phone
(954) 442-6100

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X PO 3243 FL Primary

Addresses

Primary practice location

8910 Miramar Pkwy
Suite 117
Miramar, FL 33025-4100

Mailing address

8910 Miramar Pkwy
Suite 117
Miramar, FL 33025-4100
Phone (954) 442-6100

Other identifiers 1

IdentifierTypeStateIssuer
340589300MedicaidFL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060830000334 FL Part B Supplier - Clinic/Group Practice 2466456652 Receives reassigned benefits from 1 practitioner
Practice locations: Miramar, FL
O20100930029190 FL DME Supplier - Physician - Podiatry 2466456652 Practice locations: Miramar, FL

National Provider Directory

National Provider Directory

Locations

840 SW 8th St
Pompano Beach, FL 33060
Phone (855) 331-6615

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1427166594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY",
            "address_2": "SUITE 117",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254100",
            "telephone_number": "954-442-6100",
            "fax_number": "954-442-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY",
            "address_2": "SUITE 117",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254100",
            "telephone_number": "954-442-6100",
            "fax_number": "954-442-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR PODIATRY AND SURGERY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "ALEXIS-CALIXTE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "954-442-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 3243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340589300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.