DPM Hairston 01 FL LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

K7562 Issued in FL

Legal business name

DPM HAIRSTON 01 FL LLC

Practice address

12900 Cortez Blvd Ste 102
Brooksville, FL 34613-6897

Phone

(352) 683-6618

Fax

(352) 683-5722

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Earlie Owens Hairston II, D.P.M.NPI 1205832854

Title

Owner

Phone

(352) 683-6618

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earlie Owens Hairston II, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Brooksville, FL
  • NPI 1205832854
  Medicare reassignment NPD Authorized official
• John Samuel Bidelspach, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tarpon Springs, FL
  • NPI 1326299512
  NPD (past)
• Douglas H Cohen, DPM

  • Podiatrist
  • Bradenton, FL
  • NPI 1770671323
  NPD (past)
• Nannette Diaz, DPM

  • Foot Surgery Podiatrist
  • Tampa, FL
  • NPI 1679540983
  NPD (past)
• Jude-Farley Pierre, DPM

  • Podiatrist
  • Spring Hill, FL
  • NPI 1750386108
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1508988015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD STE 102",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136897",
            "telephone_number": "352-683-6618",
            "fax_number": "352-683-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD STE 102",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136897",
            "telephone_number": "352-683-6618",
            "fax_number": "352-683-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPM HAIRSTON 01 FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "EARLIE",
        "authorized_official_middle_name": "OWENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-683-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "K7562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340486200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David C Dohm, LMHC
• Donald J Hensley, PA
• Ashleigh Dougherty, BSW
• Julia Douglas, PHARMD
• Yasmine Douidar, MD
• Dr Charles Price PA
• Tina Driscoll, PHARMD
• Andy Duclos
• Patricia Lynn Duffy, CRNA
• Laura Lynne Duhon, APRN,NNP-BC

• Foot & Ankle Surgery Podiatrist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.