FAMILY FOOT AND LEG CENTER PA (NPI# 1598702847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598702847 |
Entity Type | Organization |
Organization Name | FAMILY FOOT AND LEG CENTER PA |
Practice Address |
730 Goodlette Rd N Ste 102 Naples FL 34102 |
Mailing Address |
730 Goodlette Rd N Ste 102 Naples FL 34102-5617 |
Practice Telephone | 2394303668 |
Practice Fax Number | 2396929436 |
Mailing Telephone | 2394303668 |
Mailing Fax Number | 2396929436 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2018-07-11 |
Authorized Official Name | DR. KEVIN KWAN LAM (PRESIDENT) |
Authorized Official Telephone | 2394303668 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | PO3169 | FL | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3169 | FL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | GREAT WEST | 118268 | 01 |
FL | DEPARTMENT OF LABOR | 611311900 | 01 |
FL | REGION C DMERC | 5523550001 | 01 |
FL | NHIC REGION A | 5523550001 | 01 |
FL | HEALTHY KIDS | 290194 | 01 |
FL | MEDICARE | K8292 | 01 |
FL | BLUE CROSS BLUE SHIELD | 65898 | 01 |
Street Address |
730 GOODLETTE RD N STE 102 |
City | NAPLES |
State | FL |
Zip Code | 34102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528448412 | April Inez Nelson | Podiatrist | 730 Goodlette Rd N Ste 102, Naples, FL 34102 | 2015-06-04 |
1285021725 | Sean Edward Dunleavy | Podiatrist | 730 Goodlette Rd N Ste 102, Naples, FL 34102-5617 | 2015-04-22 |
1477948743 | Glenn Christopher Woodley | Podiatrist | 730 Goodlette Rd N Ste 102, Naples, FL 34102 | 2015-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
Find all providers in zip 34102 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780035725 | Jake Powers | Podiatrist | 730 Goodlette Frank Rd Ste 102, Naples, FL 34102-5617 | 2016-06-30 |
1467812842 | Associates In Medicine & Surgery LLC | Podiatrist | 2950 9th St N, Suite 13, Naples, FL 34103-4420 | 2016-02-29 |
1457628521 | Dr Kelly Malinoski LLC | Podiatrist | 7955 Airport Pulling N Rd., 101, Naples, FL 34109-1794 | 2011-11-17 |
1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
1295030120 | N & J Foot and Ankle Specialist, LLC | Podiatrist | 2835 29th Ave Ne, Naples, FL 34120-7432 | 2011-01-25 |
1417188624 | Jyothi A Amin | Podiatrist | 3435 Pine Ridge Rd Ste 102, Naples, FL 34109 | 2009-08-05 |
1285863985 | Christopher J Calcagni | Podiatrist | 4550 Executive Drive, Ste 104, Naples, FL 34119 | 2009-07-02 |
1114155678 | Jenny Wawrzyniak Adams | Podiatrist | 3435 Pine Ridge Rd, Suite 102, Naples, FL 34109-3828 | 2009-06-23 |
1851557474 | Dr. Loan Lam | Podiatrist | 8340 Collier Blvd Ste 400, Naples, FL 34114-3626 | 2008-08-03 |
1285854448 | Gulfcoast Foot & Ankle Center, Inc. | Podiatrist | 11181 Health Park Boulevard, Suite #1180, Naples, FL 34110-5738 | 2007-04-27 |
Find all providers in NAPLES |
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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.