Organization Active NPI

Apex Foot & Ankle Center, LLC

  • Podiatrist
  • Fort Myers, FL
National Provider Identifier
1689113409
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3600 Issued in FL
Legal business name
APEX FOOT & ANKLE CENTER, LLC
Practice address
8100 Arbor CT
Second Floor Building a
Fort Myers, FL 33908-2865
Phone
(239) 433-0064
Fax
(239) 433-0224
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Charles Robert Dushack III, DPMNPI 1518167428
Title
Ceo
Phone
(239) 433-0064

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO3600 FL Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X PO3600 FL

Addresses

Primary practice location

8100 Arbor CT
Second Floor Building a
Fort Myers, FL 33908-2865

Mailing address

9400 Gladiolus Dr
Suite 300
Fort Myers, FL 33908-6699
Phone (239) 433-0064

National Provider Directory

National Provider Directory
Tax ID family
Apex Foot Ankle Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1689113409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "SUITE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-433-0064",
            "fax_number": "239-433-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ARBOR CT",
            "address_2": "SECOND FLOOR BUILDING A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082865",
            "telephone_number": "239-433-0064",
            "fax_number": "239-433-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "DUSHACK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-433-0064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3600",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.