| All Podiatry Group Inc | |
|
15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 | |
| (407) 605-2321 | |
| (407) 671-4155 |
| Full Name | All Podiatry Group Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 15815 Shaddock Dr Ste 130, Winter Garden, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437207933 | NPI | - | NPPES |
| 40483 | Other | FL | BLUE CROSS BLUE SHIELD |
| 162337800 | Other | FL | DEPT. OF LABOR |
| 390408300 | Medicaid | FL | |
| 6201906 | Other | FL | GHI |
| CG1740 | Other | FL | RAILROAD MEDICARE |
| Provider Name | Steven Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982670873 PECOS PAC ID: 5890735567 Enrollment ID: I20050531000730 |
| Provider Name | James Michael Cottom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720079163 PECOS PAC ID: 7618903618 Enrollment ID: I20071217000578 |
| Provider Name | Todd C Talbert |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831163872 PECOS PAC ID: 0648311688 Enrollment ID: I20100112000794 |
| Provider Name | Donald Adamov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487635470 PECOS PAC ID: 3678500063 Enrollment ID: I20111209000738 |
| Provider Name | Michael Zuri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548683667 PECOS PAC ID: 1153641915 Enrollment ID: I20150518001929 |
| Provider Name | Roma Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174078109 PECOS PAC ID: 6305135278 Enrollment ID: I20170104001448 |
| Provider Name | Adam J Siegel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356690135 PECOS PAC ID: 1658684402 Enrollment ID: I20170720002192 |
| Provider Name | Jalpen Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619397643 PECOS PAC ID: 3274807706 Enrollment ID: I20170922001138 |
| Provider Name | Elaine Felix |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629503750 PECOS PAC ID: 9830511278 Enrollment ID: I20200612000540 |
| Provider Name | Jacob L Huffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104383512 PECOS PAC ID: 7012323587 Enrollment ID: I20210308001848 |
| Provider Name | John Hurchik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124089842 PECOS PAC ID: 5799751186 Enrollment ID: I20210429002546 |
| Provider Name | Kyle L Haverstrom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649791369 PECOS PAC ID: 8729322136 Enrollment ID: I20210726002208 |
| Provider Name | Sagar Ajay Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609254473 PECOS PAC ID: 6709134448 Enrollment ID: I20220120002373 |
| Provider Name | Tamara Nemeroff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255892592 PECOS PAC ID: 3678966470 Enrollment ID: I20220131000187 |
| Provider Name | Ryan Alexander Haaksma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578026662 PECOS PAC ID: 8820323728 Enrollment ID: I20220209000107 |
| Provider Name | Katherine Ann Ferraro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144706862 PECOS PAC ID: 2860870433 Enrollment ID: I20220609003064 |
| Provider Name | Patrick Maxwell Derby |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073075222 PECOS PAC ID: 2264767433 Enrollment ID: I20220613002182 |
| Provider Name | Nathalia Esmeral |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558822502 PECOS PAC ID: 7214317247 Enrollment ID: I20220707002367 |
| Provider Name | Dean Sorrento |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487654166 PECOS PAC ID: 4486704178 Enrollment ID: I20220708003045 |
| Provider Name | Vanisaben Beraj Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679199962 PECOS PAC ID: 1456716802 Enrollment ID: I20230508002208 |
| Provider Name | Melissa N Prutch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164153706 PECOS PAC ID: 6901288364 Enrollment ID: I20230816003161 |
| Provider Name | Raj Larry Prabhakar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952900649 PECOS PAC ID: 3577925619 Enrollment ID: I20230822000106 |
| Provider Name | Trevor Baddaloo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588192710 PECOS PAC ID: 3971912882 Enrollment ID: I20240229000033 |
| Provider Name | Jacob Ivey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891374302 PECOS PAC ID: 2769891613 Enrollment ID: I20240514003841 |
| Provider Name | Divyesh M Mehta |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861075178 PECOS PAC ID: 0840631347 Enrollment ID: I20240515002172 |
| Provider Name | Carolina Roxana Marquez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992381412 PECOS PAC ID: 5991147076 Enrollment ID: I20240521001248 |
| Provider Name | Tyler J Verdoni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093392581 PECOS PAC ID: 8820538648 Enrollment ID: I20240909000045 |
| Provider Name | Heather Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689899981 PECOS PAC ID: 1355438797 Enrollment ID: I20240912003927 |
| Provider Name | Benjamin Mcmanus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164168134 PECOS PAC ID: 9335664929 Enrollment ID: I20250416000973 |
| Provider Name | Chinn Pusri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851041958 PECOS PAC ID: 5698290658 Enrollment ID: I20250422003614 |
| Provider Name | Hiba Mansoor Mohiuddin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841938529 PECOS PAC ID: 8729598495 Enrollment ID: I20250611001859 |
| Mailing Address | Practice Location Address |
|---|---|
| All Podiatry Group Inc 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 Ph: (813) 400-1119 | All Podiatry Group Inc 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 Ph: (407) 605-2321 |
Upperline Healthcare, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Roma Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787 Phone: 407-605-2321 Fax: 407-671-4155 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Jeanne Marie Louise Mirbey, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Andres M Perez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Matthew John Martincevic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787 Phone: 407-605-2321 Fax: 407-677-4770 |