ADVANCED PODIATRY, PA (NPI# 1457510398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457510398 |
| Entity Type | Organization |
| Organization Name | ADVANCED PODIATRY, PA |
| Practice Address |
17222 Hospital Blvd Suite 218 Brooksville FL 34601-8925 |
| Mailing Address |
13801 Bruce B Downs Blvd Ste 205 Tampa FL 33613-3937 |
| Practice Telephone | 3527967800 |
| Practice Fax Number | 3527961203 |
| Mailing Telephone | 8139714678 |
| Mailing Fax Number | 8134820036 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. TODD JAMES BRENNAN (PRESIDENT) |
| Authorized Official Telephone | 8139714678 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO2520 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ORGANIZATION FOR OTHER LOCATION | 1982756706 | 01 |
| FL | MEDICARE GROUP PTAN | M2469 | 01 |
| FL | MEDICARE GROUP PTAN | M2475 | 01 |
| FL | GROUP NPI | 1982756706 | 01 |
| Street Address |
17222 HOSPITAL BLVD SUITE 218 |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-8925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195823 | Tanveer Ahmad Chaudhry | Psychiatry & Neurology | 17222 Hospital Blvd, Suite 116, Brooksville, FL 34601-8925 | 2005-09-26 |
| 1336652023 | Khushbu Dalsania | Nurse Practitioner | 17222 Hospital Blvd, Brooksville, FL 34601-8925 | 2017-11-16 |
| 1194124347 | Denise Schonwald | Counselor | 17222 Hospital Blvd, Ste 100, Brooksville, FL 34601-8925 | 2014-08-13 |
| 1881025914 | Laverne Marie Kalafor | Social Worker | 17222 Hospital Blvd, Suite 100, Brooksville, FL 34601-8925 | 2013-11-27 |
| 1467880682 | 3xs Pllc | Podiatrist | 17222 Hospital Blvd, Suite 242, Brooksville, FL 34601-8925 | 2013-10-25 |
| 1295162188 | Jerry A Cook | Occupational Therapist | 17222 Hospital Blvd, Suite 346, Brooksville, FL 34601-8925 | 2013-10-09 |
| 1093057986 | 3xs Pllc | Family Medicine | 17222 Hospital Blvd, Suite 242, Brooksville, FL 34601-8925 | 2013-03-19 |
| 1144592007 | Abdelnasser Elmansoury Md Pa | Internal Medicine | 17222 Hospital Blvd, Suite 238, Brooksville, FL 34601-8925 | 2012-02-07 |
| 1710281340 | Hussam Ismael | Surgery | 17222 Hospital Blvd, Suite 326, Brooksville, FL 34601-8925 | 2010-12-21 |
| 1538329933 | Hernando Neurosurgery Pllc | Specialist | 17222 Hospital Blvd, #350, Brooksville, FL 34601-8925 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518929777 | Charles Mayer Miller | Podiatrist | 11373 Cortez Blvd, Brooksville, FL 34613-5414 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264826 | Upperline Healthcare, PC | Podiatrist | 819 E Oak St Ste B, Kissimmee, FL 34744-5842 | 2020-07-31 |
| 1801406236 | Upperline Healthcare, PC | Podiatrist | 499 E Central Pkwy Ste 120, Altamonte Springs, FL 32701-3449 | 2020-07-31 |
| 1841800281 | Upperline Healthcare, PC | Podiatrist | 7148 Curry Ford Rd Ste 300, Orlando, FL 32822-5803 | 2020-07-31 |
| 1497365829 | Upperline Healthcare, PC | Podiatrist | 6000 Turkey Lake Rd Ste 108, Orlando, FL 32819-4205 | 2020-07-31 |
| 1427668854 | Upperline Healthcare, PC | Podiatrist | 1381 Citrus Tower Blvd Ste 103, Clermont, FL 34711-1957 | 2020-07-31 |
| 1639654148 | Kenneth Shapiro | Podiatrist | 7209 Promenade Dr Apt 601, Boca Raton, FL 33433-2809 | 2018-10-01 |
| 1558872549 | Edward Nathan Szerlip | Podiatrist | 11960 Northwest 26 Street, Plantation, FL 33323-3332 | 2017-10-17 |
| 1174903686 | Maria Lilia Fundora Cabrera | Podiatrist | 1380 Ne Miami Gardens Dr 209, Miami, FL 33179-4709 | 2015-06-01 |
| 1285027599 | Naples Podiatry | Podiatrist | 4763 Tamiami Trail North, Naples, FL 34103 | 2015-03-11 |
| 1548667314 | Louis Joseph Falletta | Podiatrist | 410 Se 28th Ave, Pompano Beach, FL 33062-6130 | 2014-11-22 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
Please comment or provide details below to improve the information on ADVANCED PODIATRY, PA.
| 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.