Organization Active NPI

Foot and Ankle Care of the Island Coast PA

  • Podiatrist
  • Fort Myers, FL
National Provider Identifier
1750437166
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-1727 Issued in FL
Legal business name
FOOT AND ANKLE CARE OF THE ISLAND COAST PA
Practice address
13761 McGregor Blvd
Fort Myers, FL 33919-6120
Phone
(239) 482-7100
Fax
(239) 482-4209
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Dr. Curtis W. Skupny, D.P.M.
Title
President
Phone
(239) 482-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO-1727 FL Primary

Addresses

Primary practice location

13761 McGregor Blvd
Fort Myers, FL 33919-6120

Mailing address

13761 McGregor Blvd
Fort Myers, FL 33919-6120
Phone (239) 482-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040612000012 FL Part B Supplier - Clinic/Group Practice 9537142229 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Myers, FL
O20160128002483 FL DME Supplier - Physician - Podiatry 9537142229 Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

13761 McGregor Blvd
Fort Myers, FL 33919
Phone (239) 482-7100

1715 Periwinkle Way
Sanibel, FL 33957
Phone (239) 395-2005

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1750437166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13761 MCGREGOR BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196120",
            "telephone_number": "239-482-7100",
            "fax_number": "239-482-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13761 MCGREGOR BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196120",
            "telephone_number": "239-482-7100",
            "fax_number": "239-482-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CARE OF THE ISLAND COAST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SKUPNY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-482-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-1727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.