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TIMOTHY C. RUNYON, DPM, PA
NPI 1023784188
Non-Pharmacy Dispensing Site in Fort Myers, FL

Active since August 19, 2021CLIA 10D2224744 · Certificate of Compliance
2540 WINKLER AVE, FORT MYERS, FL 33901(239) 278-4100 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, Aug 19, 2021 (2 updates tracked since 2021).

About Timothy C. Runyon, Dpm, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY C. RUNYON, DPM, PA (NPI 1023784188) is a healthcare organization registered as a non-pharmacy dispensing site in Fort Myers, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Certificate of Compliance certificate valid through December 14, 2027 and lists Kyle J Kinmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023784188
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTIMOTHY C. RUNYON, DPM, PA
Location Address2540 WINKLER AVEFort Myers, FL 33901-9338
Mailing Address1401 16th St NSt Petersburg, FL 33704-4123 · (727) 894-0794
Phone(239) 278-4100
Organization SubpartNo
Authorized OfficialKyle J KinmonCeo · (561) 995-0229
Enumeration DateAugust 19, 2021
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1023784188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
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.)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
2540 WINKLER AVE, Fort Myers, FL 33901
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2224744

Timothy C Runyon Dpm PA · Saint Petersburg, FL
Active · expires Dec 14, 2027
CLIA Number10D2224744
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorEdwin L. Kamstock
Laboratory Phone(727) 894-0794
Laboratory LocationTimothy C Runyon Dpm PA1401 16th St N, Saint Petersburg, FL 33704
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR LUIS HERRERA D.P.M.
Podiatrist (Foot & Ankle Surgery)
2540 WINKLER AVE
FORT MYERS, FL 33901
Lee County (239) 278-4100
HAL BOZOF, DPM, PA
Podiatrist
2540 WINKLER AVE
FORT MYERS, FL 33901
Lee County (239) 278-4100
HAL LESLIE BOZOF D.P.M.
Podiatrist (Foot & Ankle Surgery)
2540 WINKLER AVE, STE 2
FORT MYERS, FL 33901
Lee County (239) 278-4100
DR. WILLIAM HAMILTON THETFORD DPM
Podiatrist (Foot & Ankle Surgery)
2540 WINKLER AVE
FORT MYERS, FL 33901
Lee County (239) 278-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy C. Runyon, Dpm, PA's NPI number?

The NPI number for Timothy C. Runyon, Dpm, PA is 1023784188. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Timothy C. Runyon, Dpm, PA located?

Timothy C. Runyon, Dpm, PA is located at 2540 Winkler Ave, Fort Myers, FL 33901. The listed phone number is (239) 278-4100.

What is Timothy C. Runyon, Dpm, PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Timothy C. Runyon, Dpm, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2224744) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timothy C. Runyon, Dpm, PA was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.