TIMOTHY C. RUNYON DPM PA NPI 1700540549

NPI Information

  • NPI: 1700540549
  • Provider Name: TIMOTHY C. RUNYON, DPM, PA
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: CERTIFIED FOOT & ANKLE SPECIALISTS
  • Address: 1003 DEL PRADO BLVD S STE 303
    CAPE CORAL, FL
    ZIP 33990
  • Phone: (239) 689-3843

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NPI Details

TIMOTHY C. RUNYON, DPM, PA is a non pharmacy dispensing site in Cape Coral, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) TIMOTHY C. RUNYON, DPM, PA NPI is 1700540549. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Certified Foot & Ankle Specialists.

The provider's business location address is:

1003 DEL PRADO BLVD S STE 303
CAPE CORAL, FL
ZIP 33990-601
Phone: (239) 689-3843
Fax: (239) 689-3852

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

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/9/2024.

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
1213EP1101XPodiatristPrimary Podiatric MedicineNo
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3332900000XNon-Pharmacy Dispensing SiteYes

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: 11/21/2025

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