Organization Active NPI

Spinner and Chussid D P M P a

  • Foot & Ankle Surgery Podiatrist
  • Plantation, FL
National Provider Identifier
1477691723
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SPINNER AND CHUSSID D P M P A
Practice address
201 N University Dr
Ste 110
Plantation, FL 33324-2039
Phone
(954) 370-2400
Fax
(954) 370-2459
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. Fredric Chussid, DPMNPI 1336296094
Title
President
Phone
(954) 370-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

201 N University Dr
Ste 110
Plantation, FL 33324-2039

Mailing address

201 N University Dr
Ste 110
Plantation, FL 33324-2039
Phone (954) 370-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081014000150 FL Part B Supplier - Clinic/Group Practice 6204904535 Receives reassigned benefits from 4 practitioners
Practice locations: Plantation, FL
O20100930003531 FL DME Supplier - Physician - Podiatry 6204904535 Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

6250 Lantana Rd
Ste 22
Lake Worth, FL 33463
Phone (561) 641-7666

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1477691723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR",
            "address_2": "STE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "954-370-2400",
            "fax_number": "954-370-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR",
            "address_2": "STE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "954-370-2400",
            "fax_number": "954-370-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINNER AND CHUSSID D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "CHUSSID",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-370-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.