John Randall Northrup, DPM | |
1690 Us Highway 1 S Ste C, St Augustine, FL 32084-6024 | |
(904) 436-8001 | |
(904) 377-6776 |
Full Name | John Randall Northrup |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 9 Years |
Location | 1690 Us Highway 1 S Ste C, St Augustine, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891178406 | NPI | - | NPPES |
101521600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO3952 (Florida) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3952 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
Flagler Hospital | Saint augustine, FL | Hospital |
Putnam Community Medical Center | Palatka, FL | Hospital |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Superior Podiatry Llc | 6305185828 | 2 |
Provider Name | Superior Podiatry Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457839839 PECOS PAC ID: 6305185828 Enrollment ID: O20190228000450 |
Mailing Address | Practice Location Address |
---|---|
John Randall Northrup, DPM 1690 Us Highway 1 S Ste C, St Augustine, FL 32084-6024 Ph: (904) 436-8001 | John Randall Northrup, DPM 1690 Us Highway 1 S Ste C, St Augustine, FL 32084-6024 Ph: (904) 436-8001 |
Ryan J Pereira, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 Plantation Island Dr S, Ste 203, St Augustine, FL 32080 Phone: 904-461-0821 Fax: 904-461-0823 | |
Ankle & Foot Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 309 Kingsley Lake Dr, # 901, St Augustine, FL 32092 Phone: 904-269-9595 Fax: 904-264-5211 | |
Dr. Nicole C Gortaire, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1690 Us Highway 1 S Ste C, St Augustine, FL 32084 Phone: 904-436-8001 Fax: 904-376-7761 | |
Victoria Jean Camp, DPM, PA Podiatrist Medicare: Medicare Enrolled Practice Location: 1093 A1a Beach Blvd, Pmb 235, St Augustine, FL 32080 Phone: 904-814-4904 | |
Brett Cutler Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 105 Southpark Blvd, Suite A103, St Augustine, FL 32086 Phone: 904-824-0869 Fax: 904-826-0966 | |
Dr. John M Burns, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1975 Old Moultrie Rd, St Augustine, FL 32086 Phone: 904-825-0046 Fax: 904-826-1586 | |
Meleca Foot And Ankle Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 432 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 517-990-7844 |