TIDEWATER FOOT & ANKLE ASSOCIATES, INC. (NPI# 1629573217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629573217 |
| Entity Type | Organization |
| Organization Name | TIDEWATER FOOT & ANKLE ASSOCIATES, INC. |
| Practice Address |
13019 W Linebaugh Ave Ste 101 Tampa FL 33626 |
| Mailing Address |
13019 W Linebaugh Ave Ste 101 Tampa FL 33626-4507 |
| Practice Telephone | 8139259431 |
| Mailing Telephone | 8139259431 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | DR. MEGAN JOHNSON (OWNER/ PHYSICIAN) |
| Authorized Official Telephone | 8139259431 |
| 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 |
PO3663 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DMERC | 7720870001 | 01 |
| Street Address |
13019 W LINEBAUGH AVE STE 101 |
| City | TAMPA |
| State | FL |
| Zip Code | 33626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114211299 | Megan Brook Johnson | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114211299 | Megan Brook Johnson | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2011-06-06 |
| 1437207933 | All Podiatry Group Inc | Podiatrist | 2511 W. Dr Martin L. King Blvd., Tampa, FL 33607 | 2007-01-08 |
| 1225103260 | Richard Steven Salkowe | Podiatrist | 4130 Carrollwood Village Dr, Tampa, FL 33618-8626 | 2006-11-22 |
| 1831288554 | Bernard Goldstein | Podiatrist | 13615 Bruce B Downs Blvd, Suite 112, Tampa, FL 33613-4607 | 2006-10-12 |
| 1942238829 | Paul A Beyer | Podiatrist | 13349 N 56th St, Tampa, FL 33617-1161 | 2006-06-29 |
| 1124080866 | James Russell Lowrey | Podiatrist | 8583 W Linebaugh Ave, Tampa, FL 33625-3731 | 2006-04-06 |
| 1831619956 | Michal Waldman Dpm Pa | Podiatrist | 1706 E Bearss Ave, Tampa, FL 33613-2451 | 2017-06-20 |
| 1043743800 | Michael Birau | Podiatrist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-04-09 |
| 1740726959 | Kussel & Associates | Podiatrist | 1302 W Swann Ave, Tampa, FL 33606-2531 | 2017-01-11 |
| 1245784149 | Kussel & Associates Inc | Podiatrist | 1302 W Swann Ave, Tampa, FL 33606-2531 | 2016-08-09 |
| 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.