Active NPI
Robert Paul Dunne DPM PA
- Foot & Ankle Surgery Podiatrist
- Melbourne, FL
National Provider Identifier
1639328396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2287
- Legal business name
- ROBERT PAUL DUNNE DPM PA
- Practice address
- 2717 N. Wickham Rd
Suite 4
Melbourne, FL 32935 - Phone
- (321) 253-6191
- Fax
- (321) 253-6194
- NPI assigned
- Sep 17, 2008
- 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
- Anna McElrath
- Title
- Office Manager
- Phone
- (321) 253-6191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2287 | FL | Primary |
Addresses
Primary practice location
2717 N. Wickham Rd
Suite 4
Melbourne, FL 32935
Mailing address
2717 N. Wickham Rd
Suite 4
Melbourne, FL 32935
Phone (321) 253-6191
Other names 1
- Lake Washington Foot and Ankle Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2014981 | Lake Washington Foot & Ankle | Provider-performed microscopy | Mar 10, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Robert Paul Dunne DPM PA | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2717 N Wickham Rd
Ste 4
Melbourne, FL 32935
Phone (321) 253-6191
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
- Melbourne, FL
- NPI 1518908672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1639328396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 N. WICKHAM RD",
"address_2": "SUITE 4",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32935",
"telephone_number": "321-253-6191",
"fax_number": "321-253-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 N. WICKHAM RD",
"address_2": "SUITE 4",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32935",
"telephone_number": "321-253-6191",
"fax_number": "321-253-6194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT PAUL DUNNE DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-17",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "MCELRATH",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "321-253-6191"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Washington Foot and Ankle Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.