Active NPI
Mark Sturge DPM PA
- Foot & Ankle Surgery Podiatrist
- Miami, FL
National Provider Identifier
1861505372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO 2543
- Legal business name
- MARK STURGE DPM PA
- Practice address
- 9299 SW 152 St
Suite 205
Miami, FL 33157-1775 - Phone
- (305) 251-5945
- Fax
- (954) 671-1222
- NPI assigned
- Aug 17, 2006
- 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
- Mark William Sturge, D.P.M.
- Title
- C.E.O.
- Phone
- (305) 251-5945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 2543 | FL | Primary |
Addresses
Primary practice location
9299 SW 152 St
Suite 205
Miami, FL 33157-1775
Mailing address
9299 SW 152ND St
Suite 205
Palmetto Bay, FL 33157-1737
Phone (305) 251-5945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390317600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348185600000",
"number": "1861505372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9299 SW 152ND ST",
"address_2": "SUITE 205",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571737",
"telephone_number": "305-251-5945",
"fax_number": "954-671-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9299 SW 152 ST",
"address_2": "SUITE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571775",
"telephone_number": "305-251-5945",
"fax_number": "954-671-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK STURGE DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2012-09-21",
"status": "A",
"authorized_official_last_name": "STURGE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "305-251-5945",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 2543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390317600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.