NPIMap

Organization Active NPI

Family Podiatry Centers of St Podiatry, P.L.

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
National Provider Identifier
1801829197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2943 Issued in FL
Legal business name
FAMILY PODIATRY CENTERS OF ST PODIATRY, P.L.
Practice address
5027 Central Ave
St Petersburg, FL 33710-8240
Phone
(727) 321-5678
Fax
(727) 321-5788
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chris M. Powell, DONPI 1013966753
Title
Owner/Doctor
Phone
(727) 321-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2943 FL Primary

Addresses

Primary practice location

5027 Central Ave
St Petersburg, FL 33710-8240

Mailing address

5027 Central Ave
St Petersburg, FL 33710-8240
Phone (727) 321-5678

National Provider Directory

National Provider Directory

Locations

5027 Central Ave
St Petersburg, FL 33710
Phone (727) 321-5678

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801829197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108240",
            "telephone_number": "727-321-5678",
            "fax_number": "727-321-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108240",
            "telephone_number": "727-321-5678",
            "fax_number": "727-321-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY CENTERS OF ST PODIATRY, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "727-321-5678",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.