CERTIFIED FOOT & ANKLE SPECIALISTS (NPI# 1154892867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154892867 |
| Entity Type | Organization |
| Organization Name | CERTIFIED FOOT & ANKLE SPECIALISTS |
| Practice Address |
7775 Lake Worth Rd Lake Worth FL 33467-2519 |
| Mailing Address |
1601 Clint Moore Rd Ste 130 Boca Raton FL 33487-5714 |
| Practice Telephone | 5619676800 |
| Practice Fax Number | 5619670975 |
| Mailing Telephone | 5619950229 |
| Mailing Fax Number | 5614334175 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | KYLE J KINMON (OWNER) |
| Authorized Official Telephone | 5619950229 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| 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 |
| 1083269955 | Certified Foot & Ankle Specialists | Podiatrist | 140 Jupiter Lakes Blvd Ste A, Jupiter, FL 33458-7196 | 2019-08-07 |
| 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 |
7775 LAKE WORTH RD |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282078 | Christopher Richard Oldrich | Podiatrist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2005-05-31 |
| 1114113222 | Mercury Center Pa | Podiatrist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2007-09-21 |
| 1154516318 | Gemma Manuel Banez | Physical Therapist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2007-09-11 |
| 1245332758 | Gemma Banez Physical Therapy,pa | Physical Therapist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2006-09-04 |
| 1790890127 | Apple Diabetic Shoes, Inc. | Durable Medical Equipment & Medical Supplies | 7775 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912044371 | R A M Medical Inc | Podiatrist | 604 Lucerne Ave, Lake Worth, FL 33460-3821 | 2007-02-01 |
| 1205864105 | Robert M Gaynor | Podiatrist | 6250 Lantana Rd, Suite 22, Lake Worth, FL 33463-6608 | 2006-06-29 |
| 1104899764 | Mark E Hall | Podiatrist | 7556 Lake Worth Rd, Suite 104, Lake Worth, FL 33467-2503 | 2006-02-13 |
| 1801869508 | Jay S. Alter | Podiatrist | 8927 Hypoluxo Rd, Suite A3, Lake Worth, FL 33467-5249 | 2006-02-12 |
| 1659370120 | Lawrence David Richman | Podiatrist | 7167 Lake Worth Rd, Lake Worth, FL 33467-2906 | 2005-07-18 |
| 1740282078 | Christopher Richard Oldrich | Podiatrist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2005-05-31 |
| 1114113222 | Mercury Center Pa | Podiatrist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
Please comment or provide details below to improve the information on CERTIFIED FOOT & ANKLE SPECIALISTS.
| 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.