Foot Seas Podiatry Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3362 Issued in FL

Legal business name

FOOT SEAS PODIATRY INC

Practice address

787 37TH St
E220
Vero Beach, FL 32960-7305

Phone

(772) 770-9127

Fax

(772) 770-1530

NPI assigned

Nov 11, 2015

Last updated

Jul 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Roberts, DPMNPI 1831366681

Title

Owner

Phone

(772) 770-9127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Foot Seas Podiatry Inc

  • Podiatrist
  • Vero Beach, FL
  • NPI 1508244856

  6901119882

  Same PAC ID

Tax ID family

Foot Seas Podiatry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Foot Seas Podiatry Inc

  • Podiatrist
  • Vero Beach, FL
  • NPI 1508244856
  NPD tax ID

Locations

Practitioners 2

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.

• Joshua C. Roberts, DPM

  • Podiatrist
  • Vero Beach, FL
  • NPI 1831366681
  NPD Authorized official
• Carl Ganio, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Vero Beach, FL
  • NPI 1194710533
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1437522505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST",
            "address_2": "E220",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-770-9127",
            "fax_number": "772-770-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST",
            "address_2": "E220",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-770-9127",
            "fax_number": "772-770-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SEAS PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-770-9127",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Fodor, LCSW
• Angelo A Fodor, PHARMD
• Andrea Jean Folds, MD
• Yehsica Rasheni Folkerds, RBT
• Tomas Fernando Fonseca, B.S
• Foot Seas Podiatry Inc
• Gwen Forbes-Wolfe, M.S., L.M.H.C.
• Eric Forbes
• Erin Elizabeth Forest, M.D.
• Lisa Fortes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.