Organization Active NPI

Segall Foot & Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1821557596
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SEGALL FOOT & ANKLE INC
Practice address
4800 NE 20TH Ter Ste 303
Fort Lauderdale, FL 33308-4510
Phone
(954) 771-8177
Fax
(954) 771-3629
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Brigida Fenelon, CPC
Title
Office Manager
Phone
(954) 771-8177

Specialties & licenses 1

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

Addresses

Primary practice location

4800 NE 20TH Ter Ste 303
Fort Lauderdale, FL 33308-4510

Mailing address

201 NW 82ND Ave Ste 102
Plantation, FL 33324-1853
Phone (954) 384-2555

Other identifiers 1

IdentifierTypeStateIssuer
65268OtherFLBCBS FL

National Provider Directory

National Provider Directory
Tax ID family
Segall Foot Ankle Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1821557596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241853",
            "telephone_number": "954-384-2555",
            "fax_number": "954-900-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-771-8177",
            "fax_number": "954-771-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGALL FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "FENELON",
        "authorized_official_first_name": "BRIGIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-771-8177",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "65268",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.