Patriot Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3604 Issued in FL

Legal business name

PATRIOT PODIATRY PLLC

Practice address

2760 SE 17TH St Ste 102
Ocala, FL 34471-5550

Phone

(352) 351-1555

Fax

(352) 351-1330

NPI assigned

Oct 3, 2014

Last updated

Jan 14, 2025By 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

Stephanie Frey, D.P.M.NPI 1114207974

Title

Manager

Phone

(352) 208-1140

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Stephanie Frey, D.P.M.

  • Podiatrist
  • Ocala, FL
  • NPI 1114207974
  Medicare reassignment Care Compare group NPD Authorized official
• Marcus Alexander Frey, D.P.M

  • Podiatrist
  • Ocala, FL
  • NPI 1346521150
  Medicare reassignment Care Compare group NPD
• Mark McMullen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Crystal River, FL
  • NPI 1740203389
  Medicare reassignment Care Compare group NPD
• Cary M Zinkin, D.P.M.

  • Podiatrist
  • Ocala, FL
  • NPI 1649324971
  Medicare reassignment Care Compare group NPD
• Hannah Khlopas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
  • NPI 1548780307
  Medicare reassignment NPD
• John Joseph Im, D.O.

  • General Practice Physician
  • The Villages, FL
  • NPI 1922298454
  NPD (past)

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1801299870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715550",
            "telephone_number": "954-854-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715550",
            "telephone_number": "352-351-1555",
            "fax_number": "352-351-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Lagrande Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321591340",
            "country_code": "US",
            "telephone_number": "352-513-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRIOT PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-208-1140",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3605",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia a. Jones, MD PA
• Patrick Chiropractic Center, PA
• Patrick H Pruitt DMD PA (Pruitt Dentistry)
• Donna Elaine Patrick, DC
• Vijayalakshmy Patrick, MD
• Calia Patterson
• Daniel A Patterson, MD,PHD, MRCP,
• Mariah H Patterson, PHARMD
• Deborah R Pattillo, LMFT
• Alexis Patton

• Foot & Ankle Surgery Podiatrist in Ocala, FL
• Providers in Ocala, 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 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.