| Certified Foot & Ankle Specialists | |
|
1601 Clint Moore Rd Ste 180, Boca Raton, FL 33487-5713 | |
| (561) 995-0229 | |
| (561) 989-0775 |
| Full Name | Certified Foot & Ankle Specialists |
|---|---|
| Type | Facility |
| Speciality | Non-pharmacy Dispensing Site |
| Location | 1601 Clint Moore Rd Ste 180, Boca Raton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699904169 | NPI | - | NPPES |
| 001593100 | Medicaid | FL | |
| CA001A | Other | FL | MEDICARE |
| 10D2092005 | Other | FL | CLIA |
| 0005L | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3007 (Florida) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
| Provider Name | Stephen Kushner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184695157 PECOS PAC ID: 7810894961 Enrollment ID: I20031217000017 |
| Provider Name | Kyle J Kinmon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023076312 PECOS PAC ID: 6406818137 Enrollment ID: I20041103001032 |
| Provider Name | Stuart M Goldman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316996044 PECOS PAC ID: 0941263081 Enrollment ID: I20041109000886 |
| Provider Name | Gary A Lieber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932218179 PECOS PAC ID: 2860415304 Enrollment ID: I20060111000158 |
| Provider Name | Julio C Ortiz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154542512 PECOS PAC ID: 3678657830 Enrollment ID: I20080226000788 |
| Provider Name | Jefferson D Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902074628 PECOS PAC ID: 5193895019 Enrollment ID: I20080604000586 |
| Provider Name | George A. Schwenck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609901354 PECOS PAC ID: 6305975533 Enrollment ID: I20100527000115 |
| Provider Name | Nanette Diaz-rispler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730116039 PECOS PAC ID: 1951304377 Enrollment ID: I20101129000419 |
| Provider Name | Shawn R Norris |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770816860 PECOS PAC ID: 6800042706 Enrollment ID: I20120808000846 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20140128000725 |
| Provider Name | Raymond Paul Rowan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306188636 PECOS PAC ID: 1254621857 Enrollment ID: I20160610000700 |
| Provider Name | Ashley L Bowles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891156857 PECOS PAC ID: 9830482520 Enrollment ID: I20160718001616 |
| Provider Name | Enrique A Hernandez Vila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700044617 PECOS PAC ID: 6608900733 Enrollment ID: I20160930001588 |
| Provider Name | Maria Liza Eden Eden Giammaria |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851528616 PECOS PAC ID: 2264685601 Enrollment ID: I20171113003301 |
| Provider Name | Jason C Levitre |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326017179 PECOS PAC ID: 9133152804 Enrollment ID: I20180202000825 |
| Provider Name | Raudel Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629362520 PECOS PAC ID: 7214157098 Enrollment ID: I20180321001640 |
| Provider Name | Emilio Enrique Lopez |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881919124 PECOS PAC ID: 2567776248 Enrollment ID: I20181231000372 |
| Provider Name | Randall Corey Orem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497741409 PECOS PAC ID: 3577469626 Enrollment ID: I20190215000209 |
| Provider Name | Derek A Pawich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184076069 PECOS PAC ID: 1254669187 Enrollment ID: I20190829003278 |
| Provider Name | Malak El-rahi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962663070 PECOS PAC ID: 9133356660 Enrollment ID: I20191021002273 |
| Provider Name | Felipe F Peterson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033572656 PECOS PAC ID: 2567757677 Enrollment ID: I20191126000917 |
| Provider Name | Radu Dan Purtuc |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154663235 PECOS PAC ID: 1355572629 Enrollment ID: I20210617000963 |
| Provider Name | Pooneh Alaei Taleghani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790275931 PECOS PAC ID: 7810399235 Enrollment ID: I20210708000156 |
| Provider Name | John Cameron |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265097596 PECOS PAC ID: 5092195354 Enrollment ID: I20220704000175 |
| Provider Name | Madisynn Noga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780242511 PECOS PAC ID: 3779963673 Enrollment ID: I20220709000484 |
| Provider Name | Laura Adler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255890059 PECOS PAC ID: 6204217243 Enrollment ID: I20220721002287 |
| Provider Name | Marlon Osbourne |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295092583 PECOS PAC ID: 1658753322 Enrollment ID: I20220728001352 |
| Provider Name | Allen Clark |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376810143 PECOS PAC ID: 7214257187 Enrollment ID: I20230727000173 |
| Provider Name | Deepika Ratnala |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396368874 PECOS PAC ID: 3274995824 Enrollment ID: I20230814001684 |
| Provider Name | Tori Breitenbach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336708650 PECOS PAC ID: 5395107726 Enrollment ID: I20230816001999 |
| Provider Name | Victoria Nolte |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053986380 PECOS PAC ID: 3870031271 Enrollment ID: I20240816001011 |
| Provider Name | Nikul M Panchal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033644737 PECOS PAC ID: 4082037726 Enrollment ID: I20241017004176 |
| Mailing Address | Practice Location Address |
|---|---|
| Certified Foot & Ankle Specialists 1601 Clint Moore Rd Ste 180, Boca Raton, FL 33487-5713 Ph: (561) 369-2199 | Certified Foot & Ankle Specialists 1601 Clint Moore Rd Ste 180, Boca Raton, FL 33487-5713 Ph: (561) 995-0229 |