Active NPI
Institute of Medical Excellence
- Foot & Ankle Surgery Podiatrist
- Defuniak Springs, FL
National Provider Identifier
1770818601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2112
- Legal business name
- INSTITUTE OF MEDICAL EXCELLENCE
- Practice address
- 101 Microspine Way
Defuniak Springs, FL 32435 - Phone
- (850) 892-4248
- NPI assigned
- Oct 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kinley Wayne Howard, DPM, CRNA
- Title
- President
- Phone
- (850) 892-4248
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2112 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP2539562 | FL |
Addresses
Primary practice location
101 Microspine Way
Defuniak Springs, FL 32435
Mailing address
PO Box 1262
Defuniak Springs, FL 32435-1262
Phone (850) 892-4248
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255046400000",
"number": "1770818601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1262",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324351262",
"telephone_number": "850-892-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MICROSPINE WAY",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "32435",
"telephone_number": "850-892-4248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE OF MEDICAL EXCELLENCE",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-09",
"last_updated": "2009-10-09",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "KINLEY",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-892-4248",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM, CRNA"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2112",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP2539562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Defuniak Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.