CERTIFIED FOOT & ANKLE SPECIALISTS (NPI# 1699904169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699904169 |
| Entity Type | Organization |
| Organization Name | CERTIFIED FOOT & ANKLE SPECIALISTS |
| Other Organization Name | MULTI SPECIALTY PHYSICIAN SERVICES |
| Practice Address |
1601 Clint Moore Rd 130 Boca Raton FL 33487-2768 |
| Mailing Address |
1601 Clint Moore Rd Ste 180 Boca Raton FL 33487-5713 |
| Practice Telephone | 5619950229 |
| Practice Fax Number | 5619890775 |
| Mailing Telephone | 5613692199 |
| Mailing Fax Number | 5619351582 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-09-14 |
| 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 | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3007 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | 0005L | 01 |
| FL | CLIA | 10D2092005 | 01 |
| FL | MEDICARE | CA001A | 01 |
| FL | 001593100 | 05 |
| Other Name | Type Code |
|---|---|
| MULTI SPECIALTY PHYSICIAN SERVICES | Doing Business As Name - Organization |
| 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 |
| 1154892867 | Certified Foot & Ankle Specialists | Podiatrist | 7775 Lake Worth Rd, Lake Worth, FL 33467-2519 | 2018-12-07 |
| 1306249198 | Certified Foot & Ankle Specialists | Podiatrist | 1725 N University Dr, Coral Springs, FL 33071-6089 | 2014-10-07 |
| Street Address |
1601 CLINT MOORE RD 130 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538944 | Jeremy S Breit | Internal Medicine | 1601 Clint Moore Rd, Suite 100, Boca Raton, FL 33487-2768 | 2005-06-17 |
| 1952876070 | Leslie Aston Wattkis | Nurse Practitioner | 1601 Clint Moore Rd, Boca Raton, FL 33487-2768 | 2018-10-04 |
| 1124578331 | Gabriel Johnson | Physician Assistant | 1601 Clint Moore Rd, Suite 155, Boca Raton, FL 33487-2768 | 2016-10-12 |
| 1912456963 | Internal Medicine Associates Snf LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 200-2, Boca Raton, FL 33487-2768 | 2016-09-30 |
| 1710336797 | Docs On Call LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 115 B, Boca Raton, FL 33487-2768 | 2016-06-09 |
| 1891156857 | Ashley Bowles | Podiatrist | 1601 Clint Moore Rd, Suite 130, Boca Raton, FL 33487-2768 | 2016-03-17 |
| 1912378829 | Gila R Weinstein Md LLC | Plastic Surgery | 1601 Clint Moore Rd, Suite 145, Boca Raton, FL 33487-2768 | 2015-10-19 |
| 1932578879 | 21st Century Oncology LLC | Pathology | 1601 Clint Moore Rd, Suite 180, Boca Raton, FL 33487-2768 | 2015-09-22 |
| 1770951055 | 21st Century Oncology LLC | Urology | 1601 Clint Moore Rd, Suite 195, Boca Raton, FL 33487-2768 | 2015-09-03 |
| 1962886408 | Lindsey Martin | Audiologist | 1601 Clint Moore Rd, Suite 105, Boca Raton, FL 33487-2768 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326406679 | Pritesh Patel | Podiatrist | 900 Nw 13th St Ste 106, Boca Raton, FL 33486-2350 | 2016-02-02 |
| 1679939623 | Foot and Ankle Specialists of Florida, LLC | Podiatrist | 351 Club Cir Apt 207, Boca Raton, FL 33487-3767 | 2016-01-06 |
| 1386999548 | Gregory Robert Boco | Podiatrist | 9878 Clint Moore Rd Ste 202, Boca Raton, FL 33496-1037 | 2012-07-13 |
| 1306164280 | Martha Juliana Holzworth | Podiatrist | 650 Glades Rd, Boca Raton, FL 33431-6414 | 2010-05-17 |
| 1518038355 | Stephan Anthony Silva | Podiatrist | 7491 N Federal Hwy, Suite C15, Boca Raton, FL 33487-1625 | 2006-11-13 |
| 1417950601 | Bret Michael Ribotsky | Podiatrist | 880 Nw 13th Street, Suite 1c, Boca Raton, FL 33486 | 2005-05-23 |
| 1639639651 | Florida Foot & Ankle Associates, LLC | Podiatrist | 900 Nw 13th St Ste 106, Boca Raton, FL 33486-2350 | 2019-03-25 |
| 1235696998 | Norris & Dabul Foot & Ankle, Pa | Podiatrist | 21679 State Road 7, Boca Raton, FL 33428-1812 | 2019-02-28 |
| 1508219353 | Palm Beach Foot & Ankle Inc | Podiatrist | 9878 Clint Moore Rd, Suite 202, Boca Raton, FL 33496-1037 | 2016-07-18 |
| 1891156857 | Ashley Bowles | Podiatrist | 1601 Clint Moore Rd, Suite 130, Boca Raton, FL 33487-2768 | 2016-03-17 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
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.