Organization Active NPI

Ocala Podiatry Center

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
National Provider Identifier
1669657524
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2144 Issued in FL
Legal business name
OCALA PODIATRY CENTER
Practice address
2135 SW 19TH Avenue Rd
Suite #104
Ocala, FL 34474-7874
Phone
(352) 867-1155
Fax
(352) 867-7030
NPI assigned
Jan 9, 2008
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Kathy Johnson
Title
Office Manager
Phone
(352) 867-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2144 FL Primary

Addresses

Primary practice location

2135 SW 19TH Avenue Rd
Suite #104
Ocala, FL 34474-7874

Mailing address

2135 SW 19TH Avenue Rd
Suite #104
Ocala, FL 34471-7874
Phone (352) 867-1155

Other identifiers 1

IdentifierTypeStateIssuer
CC8499OtherFLRR MEDICARE

Other names 1

  • Ocala Podiatry Center Other name

National Provider Directory

National Provider Directory

Locations

2135 SW 19th Avenue Rd
Ste 104
Ocala, FL 34471
Phone (352) 867-1155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1669657524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 SW 19TH AVENUE RD",
            "address_2": "SUITE #104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717874",
            "telephone_number": "352-867-1155",
            "fax_number": "352-867-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SW 19TH AVENUE RD",
            "address_2": "SUITE #104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747874",
            "telephone_number": "352-867-1155",
            "fax_number": "352-867-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA PODIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-867-1155"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC8499",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocala Podiatry Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.