ANKLE & FOOT CENTER OF TAMPA BAY (NPI# 1720258692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720258692 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT CENTER OF TAMPA BAY |
| Practice Address |
1700 N Mcmullen Booth Rd Suite A2-b Clearwater FL 33759-2130 |
| Mailing Address |
2835 W De Leon St Suite #101 Tampa FL 33609-4130 |
| Practice Telephone | 7277252719 |
| Practice Fax Number | 7277991083 |
| Mailing Telephone | 8132544747 |
| Mailing Fax Number | 8132548262 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | ROBERT E CREIGHTON (MEMBER) |
| Authorized Official Telephone | 8132546592 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164997391 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 4207 59th St W, Bradenton, FL 34209-6663 | 2018-10-03 |
| 1124593355 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 2039 Little Rd Ste B, Trinity, FL 34655-4421 | 2018-10-03 |
| 1649745886 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 801 S Florida Ave Ste 1, Lakeland, FL 33801-5242 | 2018-10-03 |
| 1710157680 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13389 N 56th St Bldg J, Tampa, FL 33617-1161 | 2008-03-07 |
| 1467622332 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13049 Summerfield Square Dr Ste B, Riverview, FL 33578-7402 | 2008-03-07 |
| 1871068007 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 11373 Cortez Blvd Ste 305, Brooksville, FL 34613-5411 | 2018-10-03 |
| 1386814259 | Ankle & Foot Center of Tampa Bay | Podiatrist | 3491 Gandy Blvd N Ste 107, Pinellas Park, FL 33781-2652 | 2008-03-07 |
| 1285804153 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13907 N Dale Mabry Hwy, Suite #103, Tampa, FL 33618-2411 | 2008-03-07 |
| 1548430416 | Ankle & Foot Center of Tampa Bay | Podiatrist | 38105 13th Ave, Zephyrhills, FL 33542-3437 | 2008-03-07 |
| 1174793046 | Ankle & Foot Center of Tampa Bay | Podiatrist | 205 S Moon Ave, Suite #101, Brandon, FL 33511-5703 | 2008-03-07 |
| Street Address |
1700 N MCMULLEN BOOTH RD SUITE A2-B |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33759-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967528 | William Alvarez | Family Medicine | 1700 N Mcmullen Booth Rd, Suite C3, Clearwater, FL 33759-2130 | 2005-10-24 |
| 1356743207 | Elite Sports Podiatry, Pa | Podiatrist | 1700 N Mcmullen Booth Rd, Suite C-2, Clearwater, FL 33759-2130 | 2014-09-23 |
| 1922438498 | Lisa Cozzini | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-11-20 |
| 1386080612 | Vyacheslav Scott Gutkin | Family Medicine | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-05-14 |
| 1104166057 | Emma Zainabu Sandi | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-02-28 |
| 1184975492 | Saigi P Simon | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2012-09-26 |
| 1326315987 | Lucinda J Rau | Nurse Practitioner | 1700 N Mcmullen Booth Rd, D1, Clearwater, FL 33759-2130 | 2011-11-28 |
| 1932484367 | Innovative Spine Care, Inc. | Pain Medicine | 1700 N Mcmullen Booth Rd, Suite A2-1, Clearwater, FL 33759-2130 | 2011-10-17 |
| 1346560422 | Alcrista Investments, Inc. | Home Health | 1700 N Mcmullen Booth Rd, Suite B-3, Clearwater, FL 33759-2130 | 2010-06-11 |
| 1235369174 | Donna Faye Theiss | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2009-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
| 1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
| 1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
| 1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
| 1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
| Find all providers in zip 33759 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194942979 | Michael John Conto | Podiatrist | 1420 S Hillcrest Ave, Clearwater, FL 33756-2256 | 2007-04-20 |
| 1326100579 | Foot and Ankle Physicians P A | Podiatrist | 2350 Sunset Point Rd Ste A, Clearwater, FL 33765-1443 | 2006-12-14 |
| 1598721185 | Theodore P Couluris | Podiatrist | 2521 Countryside Blvd, Clearwater, FL 33763-1605 | 2006-04-24 |
| 1124099478 | Joel A. Di Santi | Podiatrist | 2699 Seville Blvd Unit 402, Clearwater, FL 33764-1144 | 2006-01-26 |
| 1598103905 | Wassem E Faragalla | Podiatrist | 13600 Icot Blvd, Bldg. B, Clearwater, FL 33760-3703 | 2013-06-07 |
| 1275824419 | Kyle Johnson | Podiatrist | 2521 Countryside Blvd, Clearwater, FL 33763-1605 | 2011-04-21 |
| 1528368727 | Scarlett Kinley D.p.m., P.a. | Podiatrist | 321 S Lincoln Ave, Clearwater, FL 33756-5823 | 2010-10-22 |
| 1932352937 | Elizabeth M Edwards | Podiatrist | 2350 Sunset Point Rd, Suite A, Clearwater, FL 33765-1443 | 2008-11-04 |
| 1730342791 | Carissa J Sica | Podiatrist | 13600 Icot Blvd, Bldg A, Clearwater, FL 33760-3703 | 2008-07-09 |
| 1629237359 | Ugonna Uzochukwu Anyaugo | Podiatrist | 2521 Countryside Blvd, Clearwater, FL 33763-1605 | 2008-06-06 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33759 |
Please comment or provide details below to improve the information on ANKLE & FOOT CENTER OF TAMPA BAY.
| 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.