ANKLE & FOOT CENTER OF TAMPA BAY (NPI# 1174793046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174793046 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT CENTER OF TAMPA BAY |
| Practice Address |
205 S Moon Ave Suite #101 Brandon FL 33511-5703 |
| Mailing Address |
2835 W De Leon St Suite #101 Tampa FL 33609-4130 |
| Practice Telephone | 8135710123 |
| Practice Fax Number | 8136611423 |
| Mailing Telephone | 8132544747 |
| Mailing Fax Number | 8132548262 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | ROBERT E CREIGHTON (MEMBER) |
| Authorized Official Telephone | 8132544747 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164997391 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 4207 59th St W, Bradenton, FL 34209-6663 | 2018-10-03 |
| 1124593355 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 2039 Little Rd Ste B, Trinity, FL 34655-4421 | 2018-10-03 |
| 1649745886 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 801 S Florida Ave Ste 1, Lakeland, FL 33801-5242 | 2018-10-03 |
| 1710157680 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13389 N 56th St Bldg J, Tampa, FL 33617-1161 | 2008-03-07 |
| 1467622332 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13049 Summerfield Square Dr Ste B, Riverview, FL 33578-7402 | 2008-03-07 |
| 1871068007 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 11373 Cortez Blvd Ste 305, Brooksville, FL 34613-5411 | 2018-10-03 |
| 1386814259 | Ankle & Foot Center of Tampa Bay | Podiatrist | 3491 Gandy Blvd N Ste 107, Pinellas Park, FL 33781-2652 | 2008-03-07 |
| 1285804153 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13907 N Dale Mabry Hwy, Suite #103, Tampa, FL 33618-2411 | 2008-03-07 |
| 1548430416 | Ankle & Foot Center of Tampa Bay | Podiatrist | 38105 13th Ave, Zephyrhills, FL 33542-3437 | 2008-03-07 |
| 1720258692 | Ankle & Foot Center of Tampa Bay | Podiatrist | 1700 N Mcmullen Booth Rd, Suite A2-b, Clearwater, FL 33759-2130 | 2008-03-07 |
| Street Address |
205 S MOON AVE SUITE #101 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325361 | Miguel Angel Mazariegos | General Practice | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | 2005-09-02 |
| 1174949184 | Thiru S. Arasu, Md, Pa | Pediatrics | 205 S Moon Ave, Suite 103, Brandon, FL 33511-5716 | 2014-03-14 |
| 1487962619 | Family Practice Center of Brandon LLC | Family Medicine | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | 2010-09-22 |
| 1740511054 | Integrated Surgical Care, Pa | Surgery | 205 S Moon Ave, Suite 103, Brandon, FL 33511-5716 | 2010-01-26 |
| 1881833382 | Federico Alfonso Auger | Podiatrist | 205 S Moon Ave, Brandon, FL 33511-5716 | 2009-02-07 |
| 1184619488 | Shivinder Narwal | Pediatrics | 205 S Moon Ave, Suite 103, Brandon, FL 33511-5716 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386824209 | Bernard Goldstein Pa | Podiatrist | 131 N Moon Ave, Suite 6, Brandon, FL 33510-4418 | 2007-11-08 |
| 1578676060 | Tampa Bay Podiatry Associatespa | Podiatrist | 303 E Robertson St, Brandon, FL 33511-5253 | 2006-08-17 |
| 1114964558 | Kristi Linn Conway | Podiatrist | 1149 Professional Park Drive, Brandon, FL 33511-0000 | 2006-06-02 |
| 1881833382 | Federico Alfonso Auger | Podiatrist | 205 S Moon Ave, Brandon, FL 33511-5716 | 2009-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
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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.