TIMOTHY C. RUNYON, DPM, PA
NPI 1023784188
Non-Pharmacy Dispensing Site in Fort Myers, FL
NPI Status: Active since August 19, 2021
Contact Information
2540 WINKLER AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 278-4100
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 10D2224744
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-14-2027
About TIMOTHY C. RUNYON, DPM, PA
This page provides the complete NPI Profile along with additional information for Timothy C. Runyon, Dpm, Pa, a provider established in Fort Myers, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1023784188 assigned on August 2021. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kyle J Kinmon (Ceo)
- NPI
- 1023784188
- Provider Name
- TIMOTHY C. RUNYON, DPM, PA
- Entity Type
- Organization
- Location Address
- 2540 WINKLER AVE FORT MYERS, FL 33901
- Location Phone
- (239) 278-4100
- Mailing Address
- 1401 16TH ST N ST PETERSBURG, FL 33704
- Mailing Phone
- (727) 894-0794
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2021
- Last Update Date
- 10-09-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- 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.)
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2224744
- Facility Type
- Physician Office
- Certificate Effective Date
- December 15, 2025
- Certificate Expiration Date
- December 14, 2027
- Laboratory Director
- EDWIN L. KAMSTOCK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Timothy C. Runyon, Dpm, Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023784188, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
FORT MYERS, FL 33901
FORT MYERS, FL 33901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023784188, enumerated as an "organization" on August 19, 2021.
The provider is located at 2540 WINKLER AVE FORT MYERS, FL 33901 and the phone number is (239) 278-4100.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
