Timothy C. Runyon, D.P.M. P.a.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

TIMOTHY C. RUNYON, D.P.M. P.A.

Doing business as

Certified Foot and Ankle Specialists

Practice address

669A W Lumsden Rd
Brandon, FL 33511-5911

Phone

(813) 654-3354

Fax

(813) 653-9177

NPI assigned

Dec 17, 2020

Last updated

Oct 9, 2024By 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

Kyle J Kinmon, DPMNPI 1023076312

Title

Owner

Phone

(561) 995-0229

Specialties & licenses 2

Addresses

Other names 1

• Certified Foot and Ankle Specialists Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Certified Foot & Ankle Specialists

  dba Multi Specialty Physician Services

  • Non-Pharmacy Dispensing Site
  • Boca Raton, FL
  • NPI 1699904169

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Kyle J Kinmon, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
  • NPI 1023076312
  Authorized official Same address or phone

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1437745015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044123",
            "telephone_number": "727-894-0794",
            "fax_number": "727-895-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669A W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-654-3354",
            "fax_number": "813-653-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C. RUNYON, D.P.M. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KINMON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-995-0229",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Certified Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-Pharmacy Dispensing Site in Brandon, FL
• Providers in Brandon, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.