Trinity Foot and Ankle PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

TRINITY FOOT AND ANKLE PLLC

Practice address

2439 Country Place Blvd
Trinity, FL 34655-1104

Phone

(727) 376-3338

NPI assigned

Oct 30, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evan Young, DPMNPI 1881962652

Title

Ceo

Phone

(309) 532-2543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

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.

• Evan Reese Young, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lutz, FL
  • NPI 1881962652
  Medicare reassignment NPD Authorized official
• Beverly Ann Cirella, DPM

  • Foot & Ankle Surgery Podiatrist
  • Trinity, FL
  • NPI 1174366256
  Medicare reassignment

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1689446023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 COUNTRY PLACE BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551104",
            "telephone_number": "727-376-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 COUNTRY PLACE BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551104",
            "telephone_number": "727-376-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-532-2543",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Counseling Center Inc (1540 Counseling)
• Trinity Dental Arts PLLC
• Trinity Family and Sports Medicine PA
• Trinity Family Eyecare, P.a.
• Trinity Family Physicians PL
• Trinity Hearing &Balance Center
• Trinity Medical Associates L L C
• Trinity Oaks Family Medicine LLC
• Trinity Pain Center LLC
• Trinity SNF Operations LLC

• Foot & Ankle Surgery Podiatrist in Trinity, FL
• Providers in Trinity, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.