Active NPI
Sammy & Divincenzo, P.a.
- Podiatrist
- Ellenton, FL
National Provider Identifier
1457544025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO1826
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CF1471 | Other | FL | RAIL ROAD MEDICARE |
Other names 1
- ELLENTON FOOT CLINIC
National Provider Directory
National Provider Directory- Tax ID family
- Bradenton Podiatry Center
- 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.
-
- Podiatrist
- Bradenton, FL
- NPI 1477610400
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.
-
- Podiatrist
- Bradenton, FL
- NPI 1386610327
-
- Podiatrist
- Bradenton, FL
- NPI 1770559700
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.