DR. TIMOTHY C RUNYON (NPI# 1881657740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881657740 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY C RUNYON |
| Credential | D.P.M. |
| Practice Address |
1401 16th St N St Petersburg FL 33704-4123 |
| Practice Telephone | 7278940794 |
| Practice Fax Number | 7278951215 |
| Mailing Telephone | 7278940794 |
| Mailing Fax Number | 7278951215 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO1101 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
PO1101 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
PO1101 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO1101 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | FP1101 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DMERC | 0854680001 | 01 |
| FL | 041079900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417326216 | Timothy Runyon | Speech-Language Pathologist | 50 Broadway Fl 6, New York, NY 10004-3810 | 2015-09-22 |
| 1477731669 | Timothy Michael Runyon | Physical Therapist | 22513 Tomball Pkwy, Suite 113, Houston, TX 77070-1540 | 2008-02-10 |
| Street Address |
1401 16TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184076069 | Derek Alan Pawich | Podiatrist | 1401 16th St N, St Petersburg, FL 33704-4123 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969998 | Eric J Roberts Md | Podiatrist | 2191 9th Ave N # 150, St Petersburg, FL 33713-7146 | 2019-02-26 |
| 1962630004 | Eric Justin Roberts | Podiatrist | 2191 9th Ave N Ste 150, St Petersburg, FL 33713-7146 | 2009-06-28 |
| 1184757635 | Florida Coast Foot & Ankle Pa | Podiatrist | 1001 37th Street North, Suite F, St Petersburg, FL 33713-6010 | 2007-03-13 |
| 1891806667 | Darall J Moore | Podiatrist | 4200 Central Ave, St Petersburg, FL 33711-1140 | 2006-08-31 |
| 1669483517 | Julian Robert Menendez | Podiatrist | 5415 Park St N, Suite C, St Petersburg, FL 33709-1087 | 2006-08-10 |
| 1609801687 | Douglas Brian Moss | Podiatrist | 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 | 2006-07-11 |
| 1013966753 | Chris M Powell | Podiatrist | 5027 Central Ave, St Petersburg, FL 33710-8240 | 2006-05-09 |
| 1053373241 | Robin M Katz | Podiatrist | 6600 34th Ave N, St Petersburg, FL 33710-1515 | 2006-04-04 |
| 1114584125 | Moss Restorative Foot & Ankle Center, Pllc | Podiatrist | 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 | 2019-05-24 |
| 1184076069 | Derek Alan Pawich | Podiatrist | 1401 16th St N, St Petersburg, FL 33704-4123 | 2016-07-05 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
Please comment or provide details below to improve the information on DR. TIMOTHY C RUNYON.
| 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.