Timothy C. Runyon, DPM, PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

TIMOTHY C. RUNYON, DPM, PA

Practice address

1003 Del Prado Blvd S Ste 303
Cape Coral, FL 33990-3601

Phone

(239) 689-3843

Fax

(239) 689-3852

NPI assigned

Oct 27, 2021

Organization subpart

Yes

Parent organization

TIMOTHY C. RUNYON, DPM, PAAs reported in NPPES

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

Authorized official

Name

Kyle J Kinmon, DPM

Title

President/ Owner

Phone

(561) 995-0229

Specialties & licenses 3

Addresses

Other names 1

• Certified Foot & Ankle Specialists Doing business as

Electronic endpoints 1

Tax ID family

Timothy C Runyon DPM PA3 organizations share this tax ID, including this one

Part of

Timothy C Runyon DPM PA

Other organizations with this tax ID 2

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

• Timothy C. Runyon, DPM, PA

  • Non-Pharmacy Dispensing Site
  • Palm Harbor, FL
  • NPI 1235897166
  NPD tax ID
• Timothy C. Runyon, DPM, PA

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1407514334
  NPD tax ID

Practitioners 1

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

• Timothy C Runyon, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
  • NPI 1881657740

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1700540549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044123",
            "telephone_number": "727-894-0794",
            "fax_number": "727-895-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 DEL PRADO BLVD S STE 303",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903601",
            "telephone_number": "239-689-3843",
            "fax_number": "239-689-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C. RUNYON, DPM, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIMOTHY C. RUNYON, DPM, PA",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KINMON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "561-995-0229",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.certifiedfoot.com",
            "affiliation": "N",
            "endpointDescription": "website url",
            "address_1": "923 Del Prado Blvd S Ste 202",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339903628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Certified Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Certified Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenna M. Tibbs, LMHC
• Barbara Estefani Tiel
• Ethel Lucia Tijerino, DENTAL HYGIENIST
• Sharmila Tilak, M.D.
• Sharon Anne Tilbe, R.D N.D.
• Timothy L Snyder DDS PA
• Rachel Tinklepaugh
• Tiph LLC
• Gracibel Tipton, LMHC
• Jason Tirb, PHARMD

• Non-Pharmacy Dispensing Site in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.