Organization Active NPI

Footseas Medical Inc

  • Foot & Ankle Surgery Podiatrist
  • Santa Rosa Beach, FL
National Provider Identifier
1902177967
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1645 Issued in FL
Legal business name
FOOTSEAS MEDICAL INC
Practice address
2441 US Highway 98 W
102
Santa Rosa Beach, FL 32459-5385
Phone
(850) 267-4554
Fax
(850) 267-4539
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Sherrell R Wilkerson, D.P.M.
Title
Ceo
Phone
(850) 267-4554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO1645 FL Primary

Addresses

Primary practice location

2441 US Highway 98 W
102
Santa Rosa Beach, FL 32459-5385

Mailing address

2441 US Highway 98 W
102
Santa Rosa Beach, FL 32459-5385
Phone (850) 267-4554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1902177967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 US HIGHWAY 98 W",
            "address_2": "102",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595385",
            "telephone_number": "850-267-4554",
            "fax_number": "850-267-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 US HIGHWAY 98 W",
            "address_2": "102",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595385",
            "telephone_number": "850-267-4554",
            "fax_number": "850-267-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTSEAS MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "SHERRELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-267-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.