TIMOTHY C. RUNYON D.P.M. P.A. NPI 1093869851

NPI Information

NPI: 1093869851
Provider Name: TIMOTHY C. RUNYON, D.P.M. P.A.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1401 16TH ST N
ST. PETERSBURG, FL
ZIP 33704
Phone: (727) 894-0794
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TIMOTHY C. RUNYON, D.P.M. P.A. is a foot and ankle surgery podiatrist in St. Petersburg, FL. TIMOTHY C. RUNYON, D.P.M. P.A. NPI is 1093869851. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1401 16TH ST N
ST. PETERSBURG, FL
ZIP 33704-123
Phone: (727) 894-0794
Fax: (727) 895-1215

The provider's authorized official is Kyle C Kinmon .
The authorized official title is Provider/owner and has the following contact phone number (561) 995-0229.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/22/2024.

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	213ER0200X	Podiatrist	Radiology	PO1101	FLORIDA	No
2	213ES0000X	Podiatrist	Sports Medicine	PO1101	FLORIDA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO1101	FLORIDA	Yes
4	332900000X	Non-Pharmacy Dispensing Site				No
5	332B00000X	Durable Medical Equipment & Medical Supplies		PO1101	FLORIDA	No
6	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	PO1101	FLORIDA	No

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	340415300	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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