Organization Active NPI

Coast 2 Coast Financial & Marketing Services LLC

Doing business as Coast2Coast Medical Group

  • Foot & Ankle Surgery Podiatrist
  • Land O' Lakes, FL
National Provider Identifier
1952547986
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 2345 Issued in FL
Legal business name
COAST 2 COAST FINANCIAL & MARKETING SERVICES LLC
Doing business as
Coast2Coast Medical Group
Practice address
15701 Leatherleaf LN
Land O Lakes, FL 34638-7905
Phone
(813) 412-3825
NPI assigned
Dec 22, 2008
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. John S Bidelspach, D.P.M.NPI 1326299512
Title
Owner
Phone
(813) 412-3825

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
Foot & Ankle Surgery Podiatrist 213ES0103X PO 2345 FL Primary

Addresses

Primary practice location

15701 Leatherleaf LN
Land O Lakes, FL 34638-7905

Mailing address

15701 Leatherleaf LN
Land O Lakes, FL 34638-7905
Phone (813) 412-3825

Other names 1

  • Coast2Coast Medical Group Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090901000565 GA Part B Supplier - Clinic/Group Practice 3173678851 Receives reassigned benefits from 1 practitioner
Practice locations: Adel, GA; Fitzgerald, GA; Lakeland, GA; Land O'Lakes, FL; Ocilla, GA; Sparks, GA; Valdosta, GA
O20091216000144 FL Part B Supplier - Clinic/Group Practice 3173678851 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, FL; Saint Petersburg, FL; Pinellas Park, FL; South Pasadena, FL; Tallahassee, FL; Palatka, FL; Brooksville, FL; Clearwater, FL…

National Provider Directory

National Provider Directory

Locations

13005 NE 135th St
Fort Mc Coy, FL 32134
Phone (352) 236-0823

445 Waterman Ave
Mount Dora, FL 32757
Phone (352) 357-5055

5550 River Rd
New Port Richey, FL 34652
Phone (215) 904-7564

7550 60th Way N
Pinellas Park, FL 33781
Phone 5122436556716

5303 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 683-6460

720 E Shotwell St
Bainbridge, GA 39819
Phone (227) 243-0967

1002 N Wiley Ave
Donalsonville, GA 39845
Phone (229) 524-8877

103 W Main St
Lakeland, GA 31635
Phone (229) 482-8164

108 W 3rd St
Ocilla, GA 31774

Practitioners & affiliated clinicians

Practitioners 2

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": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1952547986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 LEATHERLEAF LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387905",
            "telephone_number": "813-412-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 LEATHERLEAF LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387905",
            "telephone_number": "813-412-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST 2 COAST FINANCIAL & MARKETING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "BIDELSPACH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-412-3825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 2345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast2Coast Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.