Active NPI
Anthony Emelianchik DPM PA
- Podiatrist
- Eustis, FL
National Provider Identifier
1811955099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 2285
- Legal business name
- ANTHONY EMELIANCHIK DPM PA
- Practice address
- 2051 Prevatt St
Suite B
Eustis, FL 32726-6141 - Phone
- (352) 589-4601
- Fax
- (352) 589-1998
- NPI assigned
- May 4, 2006
- Last updated
- Sep 16, 2008
- 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. Anthony J Emelianchik, DPM
- Title
- Owner
- Phone
- (352) 589-4601
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 2285 | FL | Primary |
Addresses
Primary practice location
2051 Prevatt St
Suite B
Eustis, FL 32726-6141
Mailing address
2051 Prevatt St
Suite B
Eustis, FL 32726-6141
Phone (352) 589-4601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2051 Prevatt St
Ste B
Eustis, FL 32726
Phone (352) 589-4601
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot Surgery Podiatrist
- Eustis, FL
- NPI 1003864042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221523200000",
"number": "1811955099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 PREVATT ST",
"address_2": "SUITE B",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266141",
"telephone_number": "352-589-4601",
"fax_number": "352-589-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 PREVATT ST",
"address_2": "SUITE B",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266141",
"telephone_number": "352-589-4601",
"fax_number": "352-589-1998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY EMELIANCHIK DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2008-09-16",
"status": "A",
"authorized_official_last_name": "EMELIANCHIK",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-589-4601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 2285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eustis, FL
- Criselda Villarino Alvarado, PT
- Monique P. Alves
- Ambray and Labayne Corp (dba Eustis Senior Care)
- Amethyst Professional Consulting, LLC
- Jessica Dawn Anderson, DC
- Youssef Aouni, APRN-FNP-C
- Ana Arkin-Garcia, P.T.A.
- Evelyn Arnold, LMHC
- Michael George Asbate, PT
- Ashford Consolidated, Inc (Ashford Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.