NPIMap

Organization Active NPI

Adler Podiatry Clinic PLLC

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville Beach, FL
National Provider Identifier
1477814176
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO690 Issued in FL
Legal business name
ADLER PODIATRY CLINIC PLLC
Practice address
320 1St St N
Suite 709
Jacksonville Beach, FL 32250-6944
Phone
(904) 731-1711
Fax
(904) 731-9270
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Philip F Adler, DPMNPI 1336109024
Title
Owner/Podiatrist
Phone
(904) 731-1711

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO690 FL Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO3414 FL
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO2158 FL
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO3516 FL

Addresses

Primary practice location

320 1St St N
Suite 709
Jacksonville Beach, FL 32250-6944

Mailing address

3636 University Blvd S
BLDG C
Jacksonville, FL 32216-4250
Phone (904) 731-1711

National Provider Directory

National Provider Directory
Tax ID family
Adler Podiatry Clinic PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1477814176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S",
            "address_2": "BLDG C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164250",
            "telephone_number": "904-731-1711",
            "fax_number": "904-731-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "address_2": "SUITE 709",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506944",
            "telephone_number": "904-731-1711",
            "fax_number": "904-731-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADLER PODIATRY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "904-731-1711",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO690",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3414",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2158",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.