Organization Active NPI

Cory Haimon DPM PA

Doing business as Gold Coast Podiatry Group

  • Podiatrist
  • Belle Glade, FL
National Provider Identifier
1811900392
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CORY HAIMON DPM PA
Doing business as
Gold Coast Podiatry Group
Practice address
941 SE 1St St
Ste B
Belle Glade, FL 33430-4353
Phone
(561) 993-3668
Fax
(561) 747-6752
NPI assigned
Aug 14, 2006
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Dr. Cory Bruce Haimon, DPMNPI 1073591863
Title
President
Phone
(561) 289-5950

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
Podiatrist 213E00000X FL Primary

Addresses

Primary practice location

941 SE 1St St
Ste B
Belle Glade, FL 33430-4353

Mailing address

1605 S US Highway 1
Searise 201D
Jupiter, FL 33477-8436
Phone (561) 289-5950

Other identifiers 1

IdentifierTypeStateIssuer
390417200MedicaidFL

Other names 1

  • GOLD COAST PODIATRY GROUP Doing business as

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1811900392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S US HIGHWAY 1",
            "address_2": "SEARISE 201D",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334778436",
            "telephone_number": "561-289-5950",
            "fax_number": "561-747-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SE 1ST ST",
            "address_2": "STE B",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304353",
            "telephone_number": "561-993-3668",
            "fax_number": "561-747-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY HAIMON DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "HAIMON",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-289-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390417200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLD COAST PODIATRY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.