Active NPI
Comprehensive Foot & Ankle Surgery PLLC
- Foot & Ankle Surgery Podiatrist
- Jupiter, FL
National Provider Identifier
1932353372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2994
- Legal business name
- COMPREHENSIVE FOOT & ANKLE SURGERY PLLC
- Practice address
- 550 Heritage Dr Ste 140
Jupiter, FL 33458-3033 - Phone
- (561) 799-0857
- NPI assigned
- Nov 12, 2008
- 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
- Ms. Lily Pan-Perkins, DPM
- Title
- Owner
- Phone
- (561) 799-9581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2994 | FL | Primary |
Addresses
Primary practice location
550 Heritage Dr Ste 140
Jupiter, FL 33458-3033
Mailing address
550 Heritage Dr Ste 140
Jupiter, FL 33458-3033
Phone (561) 799-0857
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65791 | Other | FL | BC/BS |
| 340292400 | Medicaid | FL | |
| 65791 | Other | FL | MEDICARE INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
221 Greenwich Cir
Ste 105
Jupiter, FL 33458
Phone (561) 799-9581
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Jupiter, FL
- NPI 1730147026
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1356373310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281312000000",
"number": "1932353372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 HERITAGE DR STE 140",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583033",
"telephone_number": "561-799-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 HERITAGE DR STE 140",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583033",
"telephone_number": "561-799-0857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE FOOT & ANKLE SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-12",
"last_updated": "2010-08-09",
"status": "A",
"authorized_official_last_name": "PAN-PERKINS",
"authorized_official_first_name": "LILY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-799-9581",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "65791",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340292400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL",
"identifier": "65791",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Deborah Ann Collins, APRN, NP-C, BCBA
- Karen Jane Colwell, MA OTRL CLT
- Comfortable Care Dental Health Professionals, P.a.
- Community Surgical Specialists P.a.
- Danielle E Compaine, APRN
- Comprehensive Hand & Physical
- Comprehensive Hand & Physical
- Comsol, Inc.
- Concept Imaging, LLC
- Concierge Internal Medicine Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.