Organization Active NPI

Coastal Foot and Ankle Clinic PA.

  • Podiatrist
  • Port St Joe, FL
National Provider Identifier
1508801036
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2869 Issued in FL
Legal business name
COASTAL FOOT AND ANKLE CLINIC PA.
Practice address
147 W Highway 98
Port St Joe, FL 32456-1871
Phone
(850) 227-2200
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Dr. Tamara A Marsh, DPM
Title
Owner
Phone
(850) 899-3260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO 2869 FL Primary

Addresses

Primary practice location

147 W Highway 98
Port St Joe, FL 32456-1871

Mailing address

894 Backwater Rd
Port St Joe, FL 32456-4984
Phone (850) 899-3260

National Provider Directory

National Provider Directory

Locations

221 Avenue E
Apalachicola, FL 32320
Phone (350) 653-3338

147 W Highway 98
Port St Joe, FL 32456
Phone (850) 227-2200

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1508801036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 BACKWATER RD",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324564984",
            "telephone_number": "850-899-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W HIGHWAY 98",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561871",
            "telephone_number": "850-227-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT AND ANKLE CLINIC PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-899-3260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Joe, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.