Organization Active NPI

Foot & Ankle Care Center PA

  • Podiatric Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1962499285
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
PO2435 Issued in FL
Legal business name
FOOT & ANKLE CARE CENTER PA
Practice address
28089 Vanderbilt Dr
Suite 104
Bonita Springs, FL 34134-7521
Phone
(239) 498-1176
Fax
(239) 498-5877
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. Christopher Paladino, DPMNPI 1689674178
Title
President
Phone
(239) 498-1176

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
Podiatric Clinic/Center 261QP1100X PO2435 FL Primary

Addresses

Primary practice location

28089 Vanderbilt Dr
Suite 104
Bonita Springs, FL 34134-7521

Mailing address

28089 Vanderbilt Dr
Suite 104
Bonita Springs, FL 34134-7521
Phone (239) 498-1176

Other identifiers 2

IdentifierTypeStateIssuer
DH1805OtherFLRAILROAD MEDICARE
65364OtherFLBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080515000071 FL Part B Supplier - Clinic/Group Practice 4880763960 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL; Ft Myers, FL; Bonita Springs, FL
O20100930092572 FL DME Supplier - Physician - Podiatry 4880763960 Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

28089 Vanderbilt Dr
Ste 104
Bonita Springs, FL 34134
Phone (239) 498-1176

2332 Pine Ridge Rd
Naples, FL 34109
Phone (239) 434-7000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1962499285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28089 VANDERBILT DR",
            "address_2": "SUITE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347521",
            "telephone_number": "239-498-1176",
            "fax_number": "239-498-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28089 VANDERBILT DR",
            "address_2": "SUITE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347521",
            "telephone_number": "239-498-1176",
            "fax_number": "239-498-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "PALADINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-498-1176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "PO2435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DH1805",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "65364",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.