Organization Active NPI

Absoluchas LLC

  • Foot & Ankle Surgery Podiatrist
  • Merritt Island, FL
National Provider Identifier
1841423035
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2725 Issued in FL
Legal business name
ABSOLUCHAS LLC
Doing business as
Island Podiatry Associates
Practice address
280 N Sykes Creek Pkwy Ste B
Merritt Island, FL 32953-3491
Phone
(321) 452-5133
Fax
(321) 452-5747
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Dr. Richard D Koenig, DPM
Title
Owner
Phone
(321) 452-5133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2725 FL Primary

Addresses

Primary practice location

280 N Sykes Creek Pkwy Ste B
Merritt Island, FL 32953-3491

Mailing address

PO Box 541637
Merritt Island, FL 32954-1637
Phone (321) 452-5133

Other names 1

  • Island Podiatry Associates Doing business as

National Provider Directory

National Provider Directory

Locations

280 N Sykes Creek Pkwy
Ste B
Merritt Island, FL 32953
Phone (305) 555-1212

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1841423035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541637",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329541637",
            "telephone_number": "321-452-5133",
            "fax_number": "321-452-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N SYKES CREEK PKWY STE B",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533491",
            "telephone_number": "321-452-5133",
            "fax_number": "321-452-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUCHAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-452-5133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.