Active NPI
Perrone and Goggin DPM LC
Doing business as Atlantic Podiatry
- Podiatrist
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PERRONE AND GOGGIN DPM LC
- Doing business as
- Atlantic Podiatry
- Practice address
- 2209 S 25TH St
Fort Pierce, FL 34947-4796 - Phone
- (772) 461-4400
- Fax
- (772) 461-4409
- NPI assigned
- Sep 2, 2006
- 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
- Dr. John P Goggin, DPM
- Title
- Partner
- Phone
- (772) 461-4400
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
2209 S 25TH St
Fort Pierce, FL 34947-4796
Mailing address
2209 S 25TH St
Fort Pierce, FL 34947-4796
Phone (772) 461-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340558300 | Medicaid | FL |
Other names 1
- ATLANTIC PODIATRY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2209 S 25th St
Fort Pierce, FL 34947
Phone (772) 461-4400
1631 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (561) 857-7777
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Fort Pierce, FL
- NPI 1740238351
-
- Foot & Ankle Surgery Podiatrist
- Fort Pierce, FL
- NPI 1841248481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1669574521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 S 25TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474796",
"telephone_number": "772-461-4400",
"fax_number": "772-461-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 S 25TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474796",
"telephone_number": "772-461-4400",
"fax_number": "772-461-4409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRONE AND GOGGIN DPM LC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "GOGGIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "772-461-4400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340558300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ATLANTIC PODIATRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.