Modern Foot & Ankle | |
15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 | |
(407) 605-2321 | |
(407) 671-4155 |
Full Name | Modern Foot & Ankle |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 15815 Shaddock Dr Ste 130, Winter Garden, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437207933 | NPI | - | NPPES |
6201906 | Other | FL | GHI |
40483 | Other | FL | BLUE CROSS BLUE SHIELD |
162337800 | Other | FL | DEPT. OF LABOR |
390408300 | Medicaid | FL | |
CG1740 | Other | FL | RAILROAD MEDICARE |
Provider Name | Steven Baker |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982670873 PECOS PAC ID: 5890735567 Enrollment ID: I20050531000730 |
Provider Name | Todd C Talbert |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1831163872 PECOS PAC ID: 0648311688 Enrollment ID: I20100112000794 |
Provider Name | Donald Adamov |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487635470 PECOS PAC ID: 3678500063 Enrollment ID: I20111209000738 |
Provider Name | Michael Zuri |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548683667 PECOS PAC ID: 1153641915 Enrollment ID: I20150518001929 |
Provider Name | Roma Patel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1174078109 PECOS PAC ID: 6305135278 Enrollment ID: I20170104001448 |
Provider Name | Adam J Siegel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1356690135 PECOS PAC ID: 1658684402 Enrollment ID: I20170720002192 |
Provider Name | Jalpen Patel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1619397643 PECOS PAC ID: 3274807706 Enrollment ID: I20170922001138 |
Provider Name | Jacob L Huffman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104383512 PECOS PAC ID: 7012323587 Enrollment ID: I20210308001848 |
Provider Name | Kyle L Haverstrom |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649791369 PECOS PAC ID: 8729322136 Enrollment ID: I20210726002208 |
Provider Name | Sagar Ajay Shah |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609254473 PECOS PAC ID: 6709134448 Enrollment ID: I20220120002373 |
Provider Name | Tamara Nemeroff |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255892592 PECOS PAC ID: 3678966470 Enrollment ID: I20220131000187 |
Provider Name | Ryan Alexander Haaksma |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1578026662 PECOS PAC ID: 8820323728 Enrollment ID: I20220209000107 |
Provider Name | Patrick Maxwell Derby |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073075222 PECOS PAC ID: 2264767433 Enrollment ID: I20220613002182 |
Provider Name | Kristina Sikar |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487147278 PECOS PAC ID: 9830578939 Enrollment ID: I20220621000880 |
Provider Name | Dean Sorrento |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487654166 PECOS PAC ID: 4486704178 Enrollment ID: I20220708003045 |
Provider Name | Vanisaben Beraj Patel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1679199962 PECOS PAC ID: 1456716802 Enrollment ID: I20230508002208 |
Provider Name | Melissa N Prutch |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1164153706 PECOS PAC ID: 6901288364 Enrollment ID: I20230816003161 |
Provider Name | Trevor Baddaloo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1588192710 PECOS PAC ID: 3971912882 Enrollment ID: I20240229000033 |
Mailing Address | Practice Location Address |
---|---|
Modern Foot & Ankle 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 Ph: (813) 400-1119 | Modern Foot & Ankle 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 Ph: (407) 605-2321 |
Upperline Healthcare, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Roma Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787 Phone: 407-605-2321 Fax: 407-671-4155 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Jeanne Marie Louise Mirbey, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Andres M Perez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787 Phone: 407-423-1234 | |
Jacob Ivey, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787 Phone: 407-605-2321 Fax: 407-671-4155 |