Organization Active NPI

Mark Sturge DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1861505372
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 2543 Issued in FL
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

Updated by the provider on Sep 21, 2012

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
390317600MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.