Eric J Roberts DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ERIC J ROBERTS DPM PA

Practice address

2026 5TH Ave N
St Petersburg, FL 33713-8078

Phone

(727) 954-5525

Fax

(888) 229-0143

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Eric J Roberts, DPMNPI 1962630004

Title

Owner

Phone

(727) 954-5525

Specialties & licenses 1

Addresses

Other names 1

• TAMPA BAY FOOT AND ANKLE Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Practitioners 1

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

• Eric Justin Roberts, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Petersburg, FL
  • NPI 1962630004
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1962969998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138078",
            "telephone_number": "727-954-5525",
            "fax_number": "888-229-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138078",
            "telephone_number": "727-954-5525",
            "fax_number": "888-229-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J ROBERTS DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-954-5525",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMPA BAY FOOT AND ANKLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TAMPA BAY FOOT AND ANKLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.