Active NPI
Foot & Ankle Care Center PA
- Podiatric Clinic/Center
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- PO2435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Paladino, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH1805 | Other | FL | RAILROAD MEDICARE |
| 65364 | Other | FL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Bonita Springs, FL
- NPI 1689674178
FL, Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Naples, FL
- NPI 1114155678
Foot & Ankle Surgery
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.