Organization Active NPI

Cory B Haimon, D.P.M., PA

Doing business as Gold Coast Podiatry Group

  • Podiatrist
  • Pahokee, FL
National Provider Identifier
1982934626
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0001592 Issued in FL
Legal business name
CORY B HAIMON, D.P.M., PA
Doing business as
Gold Coast Podiatry Group
Practice address
170 S Barfield Hwy
Suite 106
Pahokee, FL 33476-1868
Phone
(561) 692-9024
Fax
(561) 496-5348
NPI assigned
Dec 31, 2009
Last updated
Dec 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Tammy S Rose
Title
Office Manager
Phone
(561) 496-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO0001592 FL Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO0001689 FL

Addresses

Primary practice location

170 S Barfield Hwy
Suite 106
Pahokee, FL 33476-1868

Mailing address

7431 W Atlantic Ave Ste 33
Delray Beach, FL 33446-3505
Phone (561) 496-6900

Other names 1

  • Gold Coast Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Locations

170 S Barfield Hwy
Ste 106
Pahokee, FL 33476
Phone (561) 692-9024

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1982934626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 W ATLANTIC AVE STE 33",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463505",
            "telephone_number": "561-496-6900",
            "fax_number": "561-496-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S BARFIELD HWY",
            "address_2": "SUITE 106",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334761868",
            "telephone_number": "561-692-9024",
            "fax_number": "561-496-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY B HAIMON, D.P.M., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-496-6900"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0001592",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0001689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Coast Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahokee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.