Organization Active NPI

Direct Podiatry

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1447601786
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3742 Issued in FL
Legal business name
DIRECT PODIATRY
Practice address
12094 Anderson Rd Unit 250
Tampa, FL 33625-5682
Phone
(727) 599-0708
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Dr. Kim Hoang Vo, DPM
Title
Owner
Phone
(727) 599-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3742 FL Primary

Addresses

Primary practice location

12094 Anderson Rd Unit 250
Tampa, FL 33625-5682

Mailing address

12094 Anderson Rd Unit 250
Tampa, FL 33625-5682
Phone (727) 599-0708

National Provider Directory

National Provider Directory

Locations

12685 Starkey Rd
Largo, FL 33773
Phone (727) 599-0708

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1447601786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12094 ANDERSON RD UNIT 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255682",
            "telephone_number": "727-599-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12094 ANDERSON RD UNIT 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255682",
            "telephone_number": "727-599-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "KIM HOANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-599-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.