Active NPI
Gerald Louis Cosentino, DPM
- Foot & Ankle Surgery Podiatrist
- Tampa, FL
National Provider Identifier
1477595361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO-0001221
- Practice address
- 508 S Habana Ave
Suite 230
Tampa, FL 33609-4181 - Phone
- (813) 877-6636
- Fax
- (813) 877-6610
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | PO-0001221 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-0001221 | FL | Primary |
| Foot Surgery Podiatrist | 213ES0131X | PO-0001221 | FL |
Addresses
Primary practice location
508 S Habana Ave
Suite 230
Tampa, FL 33609-4181
Mailing address
508 S Habana Ave
Suite 230
Tampa, FL 33609-4181
Phone (813) 877-6636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041093400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO-0001221 | FL | MD | Foot & Ankle Surgery Podiatrist |
| 1221 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayshore Podiatry Center | Sports Medicine | Current | Accepting new patients |
Locations
508 S Habana Ave
Ste 230
Tampa, FL 33609
Phone (813) 855-8400
417 S Hyde Park Ave
Tampa, FL 33606
Phone (813) 251-2039
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine Podiatrist
- Tampa, FL
- NPI 1982688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1477595361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 230",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-877-6636",
"fax_number": "813-877-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 230",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-877-6636",
"fax_number": "813-877-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENTINO",
"first_name": "GERALD",
"middle_name": "LOUIS",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "FL",
"license": "PO-0001221",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO-0001221",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO-0001221",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041093400",
"state": "FL"
}
],
"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 Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.