Community Podiatry & Wound Care PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2734 Issued in FL

Legal business name

COMMUNITY PODIATRY & WOUND CARE PA

Practice address

6 Saint Johns Medical Park Dr
St Augustine, FL 32086-4233

Phone

(904) 823-3301

Fax

(904) 823-3328

NPI assigned

Apr 23, 2008

Last updated

Jan 17, 2012By 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

Rosana Rodriguez, DPMNPI 1578576179

Title

Doctor

Phone

(904) 823-3301

Specialties & licenses 1

Addresses

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.

• Rosana Rodriguez, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Augustine, FL
  • NPI 1578576179
  Authorized official Same address or phone
• Roger L Zema, DPM

  • Foot & Ankle Surgery Podiatrist
  • Port Orange, FL
  • NPI 1346221306
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1730354523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 US HIGHWAY 1 SOUTH",
            "address_2": "PMB 510",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864233",
            "telephone_number": "904-823-3301",
            "fax_number": "904-823-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864233",
            "telephone_number": "904-823-3301",
            "fax_number": "904-823-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PODIATRY & WOUND CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-823-3301",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in St Augustine, FL
• Providers in St Augustine, 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 Jan 17, 2012; 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.