ROBERT P. BEWLEY, DPM, PA (NPI# 1811901119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811901119 |
| Entity Type | Organization |
| Organization Name | ROBERT P. BEWLEY, DPM, PA |
| Other Organization Name | LAKESIDE CENTRE FOR PODIATRY |
| Practice Address |
601 E Dixie Ave Plaza 804 Leesburg FL 34748-5953 |
| Practice Telephone | 3527281252 |
| Practice Fax Number | 3527280079 |
| Mailing Telephone | 3527281252 |
| Mailing Fax Number | 3527280079 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | ROBERT P BEWLEY (OWNER) |
| Authorized Official Telephone | 3527281252 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO693 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CF7533 | 01 |
| FL | BLUE CROSS/BLUE SHIELD | 45125 | 01 |
| FL | MEDICARE PTAN | K1457 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeside Centre for Podiatry | Doing Business As Name - Organization |
| Street Address |
601 E DIXIE AVE PLAZA 804 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684399 | Dino Madonna | Otolaryngology | 601 E Dixie Ave, Medical Plaza 901, Leesburg, FL 34748-5953 | 2005-07-26 |
| 1215571443 | Amanda Stollar | Hearing Instrument Specialist | 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748 | 2019-10-31 |
| 1740727593 | Kirsten Nolan | Nurse Practitioner | 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 | 2017-01-31 |
| 1205294212 | Central Florida Premier Eye Associates | Non-Pharmacy Dispensing Site | 601 E Dixie Ave, Suite 201, Leesburg, FL 34748-5953 | 2016-02-04 |
| 1649636192 | Emily Bean | Hearing Instrument Specialist | 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748-5953 | 2016-01-13 |
| 1457734212 | Florida Physical Medicine & Pain Center LLC | Physical Medicine & Rehabilitation | 601 E Dixie Ave, Ste 101, Leesburg, FL 34748-5953 | 2015-06-29 |
| 1417348699 | Muni V. Padman, M.d., P.a. | Preferred Provider Organization | 601 E Dixie Ave, Plaza 101, Leesburg, FL 34748-5953 | 2015-02-10 |
| 1275876187 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 | 2013-03-28 |
| 1679811459 | Muni V. Padman, M.d., P.a. | Internal Medicine | 601 E Dixie Ave, Plaza 101, Leesburg, FL 34748-5953 | 2013-01-29 |
| 1275883639 | Joann Gerri Newmons | Nurse Practitioner | 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 | 2012-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| 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 |
|---|---|---|---|---|
| 1174680540 | Reston Podiatry Associates Ltd | Podiatrist | 211 Gibson Street Nw, Leesburg, VA 20176 | 2007-01-03 |
| 1538256334 | Erik Otto Zimmermann | Podiatrist | 1208 W Dixie Ave, Leesburg, FL 34748-6314 | 2006-10-05 |
| 1548378110 | Central Florida Foot Care, P.a. | Podiatrist | 305 Childs St, Leesburg, FL 34748 | 2006-08-25 |
| 1750386496 | Gary Kugler | Podiatrist | 19440 Golf Vista Plz, Suite 120, Leesburg, VA 20176-8263 | 2005-06-18 |
| 1437600087 | Loudoun Medical Group, P.C. | Podiatrist | 224d Cornwall St Nw Ste 204, Leesburg, VA 20176-2700 | 2016-10-19 |
| 1376565234 | Northern Virginia Podiatry Group, P.C. | Podiatrist | 19440 Golf Vista Plz, Suite 120, Leesburg, VA 20176-8263 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
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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.