PATRIOT PODIATRY PLLC (NPI# 1801299870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801299870 |
| Entity Type | Organization |
| Organization Name | PATRIOT PODIATRY PLLC |
| Practice Address |
1500 Se Magnolia Ext Ste 201 Ocala FL 34471-4461 |
| Mailing Address |
1747 Se 5th St Ocala FL 34471-2509 |
| Practice Telephone | 3523511555 |
| Practice Fax Number | 3523511330 |
| Mailing Telephone | 9548545688 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | STEPHANIE FREY (MANAGER) |
| Authorized Official Telephone | 3522081140 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3605 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3604 | FL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13767 N Us Highway 441, Lady Lake, FL 321598981 | 3522081140 | |
| 510 W Cr 466, Suite 106, Lady Lake, FL 32159 | 3525131555 |
| Street Address |
1500 SE MAGNOLIA EXT STE 201 |
| City | OCALA |
| State | FL |
| Zip Code | 34471-4461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114207974 | Stephanie Frey | Podiatrist | 1500 Se Magnolia Ext Ste 201, Ocala, FL 34471-4461 | 2011-08-25 |
| 1346521150 | Marcus Alexander Frey | Podiatrist | 1500 Se Magnolia Ext Ste 201, Ocala, FL 34471-4461 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407388762 | Brian Carbonell | Podiatrist | 2651 Sw 32nd Place, Ocala, FL 34471-8671 | 2017-03-28 |
| 1457607723 | Carl Matthew Salvati | Podiatrist | 812 Ne 25th Ave Ste A, Ocala, FL 34470-6379 | 2012-07-24 |
| 1477539419 | Michael H Rotstein | Podiatrist | 2135 Sw 19th Avenue Rd, Suite #104, Ocala, FL 34471-7874 | 2005-12-21 |
| 1841283728 | Sheila Noroozi | Podiatrist | 2825 Se 3rd Ct, Ocala, FL 34471-0444 | 2005-08-26 |
| 1285632273 | Robert Frances Linn Jr. | Podiatrist | 6160 Sw Highway 200, Suite 100, Ocala, FL 34476-8307 | 2005-07-13 |
| 1780040568 | Carl Salvati, Dpm, Pa | Podiatrist | 812 Ne 25th Ave, Ocala, FL 34470-6379 | 2016-01-08 |
| 1225448061 | Kathleen N Telusma | Podiatrist | 2825 Se 3rd Ct, Ocala, FL 34471-0444 | 2014-05-01 |
| 1922426493 | Armando Gonzalez | Podiatrist | 3300 Sw 33rd Rd, Ocala, FL 34474-7458 | 2014-04-02 |
| 1861668220 | Scott Paul Goldstein | Podiatrist | 1710 Se 16th Ave, Ocala, FL 34471-4656 | 2008-05-06 |
| 1891973251 | William B Crawford Dpm | Podiatrist | 812 Ne 25th Ave, Suite A, Ocala, FL 34470-6379 | 2008-02-07 |
| Find all providers in OCALA | ||||
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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.