Organization Active NPI

Live Oak Foot & Ankle

  • Podiatrist
  • Summerfield, FL
National Provider Identifier
1932282167
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LIVE OAK FOOT & ANKLE
Practice address
17820 SE 109TH Ave
Ste 102
Summerfield, FL 34491
Phone
(352) 347-3338
Fax
(352) 347-3389
NPI assigned
Oct 23, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Dr. Steven C Effren, DPMNPI 1669555892
Title
Member
Phone
(352) 347-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

17820 SE 109TH Ave
Ste 102
Summerfield, FL 34491

Mailing address

17820 SE 109TH Ave
Ste 102
Summerfield, FL 34491
Phone (352) 347-3338

Other practice location 1

1800 SE 17th St Ste 601
Ocala, FL 34471-4176
Phone (352) 351-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101129000496 FL Part B Supplier - Clinic/Group Practice 6305032665 Receives reassigned benefits from 2 practitioners
Practice locations: Ocala, FL; Summerfield, FL
O20110629000734 FL DME Supplier - Physician - Podiatry 6305032665 Practice locations: Summerfield, FL

National Provider Directory

National Provider Directory

Locations

1800 SE 17th St
Ste 601
Ocala, FL 34471
Phone (352) 351-0375

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1932282167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "address_2": "STE 102",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "34491",
            "telephone_number": "352-347-3338",
            "fax_number": "352-347-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "address_2": "STE 102",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "34491",
            "telephone_number": "352-347-3338",
            "fax_number": "352-347-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 SE 17th St Ste 601",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344714176",
            "country_code": "US",
            "telephone_number": "352-351-0375",
            "fax_number": "352-351-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE OAK FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "EFFREN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "352-347-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.