Individual provider Active NPI

Larry Eldridge Erlinder, D.P.M.

  • Podiatrist
  • The Villages, FL
National Provider Identifier
1750392957
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-003011 Issued in IL
Practice address
1585 Santa Barbara Blvd
The Villages, FL 32159-6820
Phone
(352) 259-1919
Fax
(352) 259-2042
NPI assigned
Aug 11, 2006
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-003011 IL Primary
Podiatrist 213E00000X PO 3501 FL

Addresses

Primary practice location

1585 Santa Barbara Blvd
The Villages, FL 32159-6820

Mailing address

1585 Santa Barbara Blvd
The Villages, FL 32159-6820
Phone (352) 259-1919

Other identifiers 1

IdentifierTypeStateIssuer
60001061OtherBLUE CROSS/BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3501FLMDPodiatrist
016-003011ILMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1750392957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-259-1919",
            "fax_number": "352-259-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-259-1919",
            "fax_number": "352-259-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLINDER",
        "first_name": "LARRY",
        "middle_name": "ELDRIDGE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003011",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "60001061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.