Active NPI
Timothy Martin Syperek, D.P.M.
- Podiatrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3414
- Practice address
- 8262 Point Meadows Dr Ste 202
Jacksonville, FL 32256-4700 - Phone
- (904) 265-0470
- Fax
- (904) 223-3949
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3414 | FL | |
| Podiatrist | 213E00000X | PO3414 | FL | Primary |
Addresses
Primary practice location
8262 Point Meadows Dr Ste 202
Jacksonville, FL 32256-4700
Mailing address
705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006342200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083
421 Kingsley Ave
Orange Park, FL 32073-4898
PO Box
Melrose, FL 32666-1099
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 462 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 591 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3414 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Services PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Physicians Group Services PA | Podiatrist | Current | Accepting new patients |
| Physicians Group Services PA | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083
7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244
8262 Point Meadows Dr
Jacksonville, FL 32256
Phone (904) 265-4320
8262 Point Meadows Dr
Ste 202
Jacksonville, FL 32256
Phone (904) 217-5810
14011 Beach Blvd
Ste 220
Jacksonville Beach, FL 32250
Phone (904) 265-0180
1909 Beach Blvd
Ste 102
Jax Bch, FL 32250
Phone (904) 246-2752
705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474
421 Kingsley Ave
Ste 400
Orange Park, FL 32073
Phone (904) 204-5000
Interoperability endpoints
- timothy.syperek.1@25110.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Coastal Health
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
Foot & Ankle Surgery
-
dba Lake Area Physical Therapy & Aquatics
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
dba Coastal Health
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
Podiatrist
-
dba Coastal Health
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
- NPI 1528371051
Foot & Ankle Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1992723647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WELLS RD STE 300",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732982",
"telephone_number": "904-282-6331",
"fax_number": "904-282-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8262 POINT MEADOWS DR STE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564700",
"telephone_number": "904-265-0470",
"fax_number": "904-223-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYPEREK",
"first_name": "TIMOTHY",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3414",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006342200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Synergy Health Group LLC (Synergy Heart Group)
- Synergy Health Group LLC (Synergy Lifestyle Center)
- Synergy Pharmacy Medical Consulting LLC
- Synergy Support Coordination
- Synexis Lab and Diagnostics LLC
- Shelly Szada Smith, RN
- Alexsandra Szajna, DPM
- Arpad Szallasi, MD PHD
- Madison Leilani Szar, MD
- Daniela Szeneszi Nodine, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.