Organization Active NPI

On-Site Foot Care Inc

  • Podiatrist
  • Tarpon Springs, FL
National Provider Identifier
1689151011
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2235 Issued in FL
Legal business name
ON-SITE FOOT CARE INC
Doing business as
On-Site Foot Care Inc
Practice address
422 Appaloosa Rd
Tarpon Springs, FL 34688-9060
Phone
(727) 999-1823
NPI assigned
Jul 28, 2018
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Robert Franklin Metnick, DPMNPI 1366441347
Title
President
Phone
(727) 455-4108

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)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2235 FL Primary

Addresses

Primary practice location

422 Appaloosa Rd
Tarpon Springs, FL 34688-9060

Mailing address

PO Box 1225
Tarpon Springs, FL 34688-1225
Phone (727) 455-4108

Other identifiers 1

IdentifierTypeStateIssuer
340259200MedicaidFL

Other names 1

  • ON-SITE FOOT CARE INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190122000859 FL Part B Supplier - Clinic/Group Practice 6406193077 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, FL; Hudson, FL; Tarpon Springs, FL; Tampa, FL; New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

8151 Treelet Ct
New Pt Richey, FL 34653
Phone (727) 848-6222

13005 Community Campus Dr
Tampa, FL 33625
Phone (813) 962-7138

Practitioners & affiliated clinicians

Practitioners 2

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": "1532736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1689151011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346881225",
            "telephone_number": "727-455-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 APPALOOSA RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346889060",
            "telephone_number": "727-999-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-28",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "METNICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-455-4108",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340259200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ON-SITE FOOT CARE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ON-SITE FOOT CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.

Verify at the official NPI Registry.