ANKLE & FOOT CENTER OF TAMPA BAY (NPI# 1265419964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265419964 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT CENTER OF TAMPA BAY |
| Other Organization Name | ANKLE & FOOT CENTER |
| Practice Address |
2835 W De Leon St Suite 101 Tampa FL 33609-4168 |
| Practice Telephone | 8132546592 |
| Practice Fax Number | 8132543634 |
| Mailing Telephone | 8132546592 |
| Mailing Fax Number | 8132543634 |
| Enumeration Date | 2005-12-23 |
| 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 |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 97860 | 01 |
| Other Name | Type Code |
|---|---|
| Ankle & Foot Center | Doing Business As Name - Organization |
| 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 |
| 1174793046 | Ankle & Foot Center of Tampa Bay | Podiatrist | 205 S Moon Ave, Suite #101, Brandon, FL 33511-5703 | 2008-03-07 |
| Street Address |
2835 W DE LEON ST SUITE 101 |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306755 | Edward Bruce Kampsen | Otolaryngology | 2835 W De Leon St, #202, Tampa, FL 33609-4130 | 2005-06-17 |
| 1114305935 | Casey Overturf | Physician Assistant | 2835 W De Leon St, Ste 103, Tampa, FL 33609-4130 | 2015-05-13 |
| 1326313545 | Rebecca E Wilder | Physical Therapist | 2835 W De Leon St, Suite 205, Tampa, FL 33609-5518 | 2012-03-21 |
| 1245532316 | Vein Specialists of Tampa LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2835 W De Leon St, Suite 206, Tampa, FL 33609-4130 | 2010-11-23 |
| 1316253982 | Benjamin Mena, M.d. P.a. | Internal Medicine | 2835 W De Leon St, Suite 104, Tampa, FL 33609-4130 | 2010-08-20 |
| 1336303353 | Podiatry Network of Florida | Exclusive Provider Organization | 2835 W De Leon St, Suite 101, Tampa, FL 33609-4130 | 2008-07-18 |
| 1336328673 | Stacie Quinn Fessette | Podiatrist | 2835 W De Leon St, Suite #101, Tampa, FL 33609-4130 | 2007-11-02 |
| 1487846499 | Jose Antonio Sanchez Md | Internal Medicine | 2835 W De Leon St, Suite 203, Tampa, FL 33609-4130 | 2007-08-14 |
| 1396936076 | Tracy Alan Jones | Massage Therapist | 2835 W De Leon St, Suite 204, Tampa, FL 33609-4130 | 2007-08-07 |
| 1538368493 | Kaf Path LLC | Clinical Medical Laboratory | 2835 W De Leon St, Suite 103, Tampa, FL 33609-4130 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| 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 |
|---|---|---|---|---|
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1104351956 | Tommy Steven Kennedy | Podiatrist | 401 E Jackson St Ste 2340, Tampa, FL 33602-5226 | 2017-04-28 |
| 1295123966 | Melissa Trok-albear | Podiatrist | 6422 E Maclaurin Dr, Tampa, FL 33647-1170 | 2015-01-05 |
| 1548683667 | Michael Zuri | Podiatrist | 2511 West Doctor Martin Luther King Blvd, Tampa, FL 33607 | 2014-01-24 |
| 1972862191 | Janale Beckford | Podiatrist | 1881 W Kennedy Blvd Ste A, Tampa, FL 33606-1611 | 2012-05-08 |
| 1285962647 | Stephen Mourat | Podiatrist | 2007 W Swann Ave, Tampa, FL 33606-2483 | 2009-11-24 |
| 1063676575 | Kibibi Davison | Podiatrist | 7532 Clearview Dr, Tampa, FL 33634 | 2008-07-14 |
| 1710157680 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13389 N 56th St Bldg J, Tampa, FL 33617-1161 | 2008-03-07 |
| 1891888533 | Kiki Hoang Tran-bergman | Podiatrist | 6301 Memorial Hwy Ste 301, Tampa, FL 33615-4573 | 2006-10-02 |
| 1871692285 | Donald Edward Beckett | Podiatrist | 10144 Deercliff Dr, Tampa, FL 33647-2936 | 2006-09-22 |
| Find all providers in TAMPA | ||||
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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.