DR. JAMES E KOON (NPI# 1609983345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609983345 |
| Entity Type | Individual |
| Full Name | DR. JAMES E KOON |
| Credential | DPM |
| Practice Address |
635 1st St N Winter Haven FL 33881-4129 |
| Practice Telephone | 8632940670 |
| Practice Fax Number | 8632983200 |
| Mailing Telephone | 8632940670 |
| Mailing Fax Number | 8632983200 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2691 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | GROUP NPI | 1043321763 | 01 |
| FL | DME PALMETTO PROVIDER # | 131864001 | 01 |
| FL | MEDICARE GROUP # | K0339 | 01 |
| FL | BC BS PROVIDER | 65576 | 01 |
| FL | RAILROAD MEDICARE PROVIDE | 480028215 | 01 |
| FL | INDIV NPI | 1609983345 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093792608 | James Fletcher Koon | Family Medicine | 206 S Matson St, Kershaw, SC 29067-1506 | 2005-12-23 |
| 1992258768 | James Michael Koon Jr. | Dentist | 5005 N Piedras Street, Us Army Dental Activity, El Paso, TX 79920-5001 | 2016-07-28 |
| Street Address |
635 1ST ST N |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819853 | Mary R De Sena | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2005-08-29 |
| 1467916551 | Dorothea Annette Thompson | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2019-01-23 |
| 1790261964 | Tiffney M Martin | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-07-11 |
| 1669966719 | Ashley Nicole Penaloza | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881 | 2018-06-20 |
| 1285128082 | Julie Kregl Earp | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-06-15 |
| 1558854075 | Molly Leigh Fox | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2018-06-09 |
| 1891204608 | Roxanna Ford | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2017-09-25 |
| 1922543966 | Cecilia Mcdonald | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-12-29 |
| 1629434808 | Crystal Elizabeth Ingle | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-01-04 |
| 1821453044 | Michele Murphy | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| 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 |
|---|---|---|---|---|
| 1750498424 | Ralph W Reed | Podiatrist | 575 Avenue K Se, Winter Haven, FL 33880-4215 | 2006-08-25 |
| 1689680621 | David Ira Metzendorf | Podiatrist | 135 1st St South, Winter Haven, FL 33880 | 2006-07-31 |
| 1053389445 | Jorge L Dopico | Podiatrist | 601 1st St N, Winter Haven, FL 33881-4129 | 2006-03-10 |
| 1760469605 | Marc Feldman | Podiatrist | 401 E Central Ave, Winter Haven, FL 33880 | 2005-12-30 |
| 1932395407 | Dr. Marc Feldman Dpm Pa | Podiatrist | 401 E Central Ave, Winter Haven, FL 33880-3051 | 2007-09-19 |
| 1043321763 | Cypress Podiatry Associates P A | Podiatrist | 575 Avenue K Se, Winter Haven, FL 33880-4215 | 2006-08-31 |
| 1922118538 | Christopher Mark Englert | Podiatrist | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2006-08-30 |
| 1477661395 | Podiatry Center Pa | Podiatrist | 135 1st St South, Winter Haven, FL 33880 | 2006-08-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.