DR. JACOB LOGAN HUFFMAN DPM NPI 1104383512

NPI Information

NPI: 1104383512
Provider Name: DR. JACOB LOGAN HUFFMAN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
178 WILSHIRE BLVD
CASSELBERRY, FL
ZIP 32707
Phone: (407) 671-8010
Get Directions

DR. Jacob Logan Huffman, DPM is a foot and ankle surgery podiatrist in Casselberry, FL with 6 years of experience. DR. Jacob Logan Huffman, DPM NPI is 1104383512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2018

The provider's business location address is:

178 WILSHIRE BLVD
CASSELBERRY, FL
ZIP 32707-352
Phone: (407) 671-8010
Fax: (407) 915-9615

The NPI 1104383512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/22/2019 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		PO4242	FLORIDA	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO4242	FLORIDA	No
3	213ES0000X	Podiatrist	Sports Medicine	PO4242	FLORIDA	No
4	213ES0131X	Podiatrist	Foot Surgery	PO4242	FLORIDA	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO4242	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	QWOYU	OTHER	FLORIDA	BCBS
2	15074479	OTHER		CAQH ID
3	109820200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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