Organization Active NPI

Cory Haimon, DPM PA

Doing business as Gold Coast Podiatry

  • Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1477810281
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1592 Issued in FL
Legal business name
CORY HAIMON, DPM PA
Doing business as
Gold Coast Podiatry
Practice address
1054 Gateway Blvd
Ste 110
Boynton Beach, FL 33426-8301
Phone
(561) 496-6900
Fax
(561) 496-5348
NPI assigned
Apr 18, 2012
Organization subpart
Yes
Parent organization
CORY HAIMON, DPM PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Cory B Haimon, DPM
Title
President
Phone
(561) 496-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO1592 FL Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO1689 FL

Addresses

Primary practice location

1054 Gateway Blvd
Ste 110
Boynton Beach, FL 33426-8301

Mailing address

7431 W Atlantic Ave
Ste 33
Delray Beach, FL 33446-3512

Other identifiers 1

IdentifierTypeStateIssuer
3904172MedicaidFL

Other names 1

  • Gold Coast Podiatry Doing business as

National Provider Directory

National Provider Directory
Part of
Gold Coast Podiatry Gro

Locations

1054 Gateway Blvd
Ste 110
Boynton Beach, FL 33426
Phone (407) 913-0001

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1477810281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 W ATLANTIC AVE",
            "address_2": "STE 33",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GATEWAY BLVD",
            "address_2": "STE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268301",
            "telephone_number": "561-496-6900",
            "fax_number": "561-496-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY HAIMON, DPM PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORY HAIMON, DPM PA",
        "enumeration_date": "2012-04-18",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "HAIMON",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-496-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1592",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3904172",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Coast Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.