CERTIFIED FOOT & ANKLE SPECIALISTS (NPI# 1083269955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083269955 |
| Entity Type | Organization |
| Organization Name | CERTIFIED FOOT & ANKLE SPECIALISTS |
| Practice Address |
140 Jupiter Lakes Blvd Ste A Jupiter FL 33458-7196 |
| Mailing Address |
1601 Clint Moore Rd Ste 180 Boca Raton FL 33487-5713 |
| Practice Telephone | 5613209298 |
| Practice Fax Number | 7722883341 |
| Mailing Telephone | 5619950229 |
| Mailing Fax Number | 5619890775 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | KYLE J KINMON (PRESIDENT) |
| Authorized Official Telephone | 5619950229 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001593100 | 05 |
| Other Name | Type Code |
|---|---|
| Multi-Specialty Physician Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013449263 | Certified Foot & Ankle Specialists | Podiatrist | 4750 N Federal Hwy Ste 200, Fort Lauderdale, FL 33308-4609 | 2017-03-28 |
| 1629445275 | Certified Foot & Ankle Specialists | Podiatrist | 1521 Forest Hill Blvd, #4, West Palm Beach, FL 33406-6031 | 2015-08-31 |
| 1154738946 | Certified Foot & Ankle Specialists | Podiatrist | 7730 Boynton Beach Blvd Ste 7, Boynton Beach, FL 33437-6155 | 2014-07-14 |
| 1538766738 | Certified Foot & Ankle Specialists | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2020-10-01 |
| 1477150670 | Certified Foot & Ankle Specialists | Podiatrist | 10446 Taft St, Pembroke Pines, FL 33026-2819 | 2020-10-01 |
| 1154892867 | Certified Foot & Ankle Specialists | Podiatrist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2519 | 2018-12-07 |
| 1306249198 | Certified Foot & Ankle Specialists | Podiatrist | 1725 N University Dr, Coral Springs, FL 33071-6089 | 2014-10-07 |
| 1699904169 | Certified Foot & Ankle Specialists | Podiatrist | 1601 Clint Moore Rd, 130, Boca Raton, FL 33487-2768 | 2009-07-06 |
| Street Address |
140 JUPITER LAKES BLVD STE A |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235151416 | Jose Luis Ortega | Anesthesiology | 140 Jupiter Lakes Blvd Ste A, Jupiter, FL 33458-7196 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629342829 | Joshua S.zager | Podiatrist | 210 Jupiter Lakes Blvd Bldg 4000, Suite 202, Jupiter, FL 33458-7191 | 2012-03-06 |
| 1932353372 | Comprehensive Foot & Ankle Surgery Pllc | Podiatrist | 550 Heritage Dr Ste 140, Jupiter, FL 33458-3033 | 2008-11-12 |
| 1497944342 | Andrew A Lerner, Dpm, Pa | Podiatrist | 2141 S. Alternate A1a, Suite 120, Jupiter, FL 33477-5085 | 2007-10-16 |
| 1598726986 | Podiatry Associates of Palm Beach Gardens Inc | Podiatrist | 4601 Military Trail, Suite 202, Jupiter, FL 33458-4835 | 2006-03-28 |
| 1558752709 | Integrative Foot and Ankle LLC | Podiatrist | 4600 Military Trl, Suite 110, Jupiter, FL 33458-4810 | 2015-02-10 |
| 1891072849 | Andrew P Ostapchuk Dpm Pa | Podiatrist | 210 Jupiter Lakes Blvd, Suite 3101, Jupiter, FL 33458-7191 | 2011-11-04 |
| 1144458274 | Suzanne Carrie Fuchs | Podiatrist | 1094 Military Trl, Jupiter, FL 33458-7021 | 2009-06-26 |
| 1558516229 | Adnan Shariff Inc | Podiatrist | 2632 W Indiantown Rd, Jupiter, FL 33458-5889 | 2008-11-22 |
| 1821241118 | Adnan Shariff Dpm Pllc | Podiatrist | 2632 W Indiantown Rd, Jupiter, FL 33458-5889 | 2008-10-30 |
| 1184892424 | Palm Beach Foot & Ankle Inc | Podiatrist | 675 W Indiantown Rd, Suite# 102, Jupiter, FL 33458-7548 | 2008-02-20 |
| Find all providers in JUPITER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.