DR. TIMOTHY C RUNYON D.P.M. NPI 1881657740

NPI Information

NPI: 1881657740
Provider Name: DR. TIMOTHY C RUNYON, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

CLIA Number: 10D2224744

Address:
1401 16TH ST N
ST PETERSBURG, FL
ZIP 33704
Phone: (727) 894-0794
Get Directions

DR. Timothy C Runyon, D.P.M. is a foot and ankle surgery podiatrist in St Petersburg, FL. DR. Timothy C Runyon, D.P.M. NPI is 1881657740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 CLIA number assigned to this NPI record is 10D2224744 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 2/23/2016.

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	332B00000X	Durable Medical Equipment & Medical Supplies		FP1101	FLORIDA	No
2	213ES0000X	Podiatrist	Sports Medicine	PO1101	FLORIDA	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO1101	FLORIDA	No
4	213ER0200X	Podiatrist	Radiology	PO1101	FLORIDA	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO1101	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	041079900	MEDICAID	FLORIDA
2	0854680001	OTHER	FLORIDA	DMERC
3	87505	MEDICARE PIN	FLORIDA
4	T55440	MEDICARE UPIN	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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