Organization Active NPI

Sammy & Divincenzo, P.a.

  • Podiatrist
  • Ellenton, FL
National Provider Identifier
1457544025
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1826 Issued in FL
Legal business name
SAMMY & DIVINCENZO, P.A.
Practice address
7210 US Highway 301 N
Ellenton, FL 34222-3444
Phone
(941) 729-5588
Fax
(941) 729-0012
NPI assigned
Aug 27, 2007
Organization subpart
Yes
Parent organization
BRADENTON PODIATRY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Mrs. Sharon J Hoek
Title
Office Manager
Phone
(941) 753-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO1826 FL Primary

Addresses

Primary practice location

7210 US Highway 301 N
Ellenton, FL 34222-3444

Mailing address

7210 US Highway 301 N
Ellenton, FL 34222-3444
Phone (941) 753-1234

Other identifiers 1

IdentifierTypeStateIssuer
CF1471OtherFLRAIL ROAD MEDICARE

Other names 1

  • ELLENTON FOOT CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradenton Podiatry Center2 organizations share this tax ID, including this one
Part of
Bradenton Podiatry Center

Other organizations with this tax ID 1

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

Locations

7210 US Highway 301 N
Ellenton, FL 34222
Phone (941) 722-5555

Practitioners & affiliated clinicians

Practitioners 2

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1457544025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223444",
            "telephone_number": "941-753-1234",
            "fax_number": "941-755-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223444",
            "telephone_number": "941-729-5588",
            "fax_number": "941-729-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMY & DIVINCENZO, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADENTON PODIATRY CENTER",
        "enumeration_date": "2007-08-27",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "HOEK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-753-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CF1471",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELLENTON FOOT CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.