Active NPI
Evolve Podiatry LLC
- Podiatrist
- Pensacola, FL
National Provider Identifier
1629517917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- EVOLVE PODIATRY LLC
- Practice address
- 825 E Burgess Rd
Pensacola, FL 32504-7001 - Phone
- (850) 359-6329
- Fax
- (888) 375-3009
- NPI assigned
- Feb 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey T Weiland, DPM
- Title
- President
- Phone
- (847) 899-0215
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
825 E Burgess Rd
Pensacola, FL 32504-7001
Mailing address
PO Box 6527
Pensacola, FL 32503-0527
Phone (850) 359-6329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1717 N E St
#116A
Pensacola, FL 32501
1717 N E St
Ste 116A
Pensacola, FL 32501
Phone (847) 899-0215
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Pensacola, FL
- NPI 1528326725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1629517917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6527",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325030527",
"telephone_number": "850-359-6329",
"fax_number": "888-375-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E BURGESS RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047001",
"telephone_number": "850-359-6329",
"fax_number": "888-375-3009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-20",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "WEILAND",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-899-0215",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Lindi Nathaleanne Evers, MSN, ARNP, CPNP-PC
- Everwell Specialty Pharmacy, LLC
- Everwell Specialty Pharmacy, LLC
- Every Child Wenze LLC
- Evolve Medical LLC
- Evolve Therapy and Wellness PLLC
- Jessica Clubbs Ewert, M.D.
- Exceptional Partners, Inc.
- Experience Anew, LLC
- Extended Care Portfolio Florida Tenant, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.