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EAST COAST PODIATRY INC
NPI 1104014208
Podiatrist - Foot & Ankle Surgery in Ormond Beach, FL

Active since October 15, 2007
233 OSCEOLA AVE, ORMOND BEACH, FL 32176(386) 672-6424(386) 672-5251 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About East Coast Podiatry Inc NPPES

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

EAST COAST PODIATRY INC (NPI 1104014208) is a healthcare organization registered as a foot & ankle surgery in Ormond Beach, Florida and active in the NPI registry since October 2007. The organization lists Donald C Johnson, Dpm / Owner, as its authorized official.

NPPES Registry Identity

NPI1104014208
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameEAST COAST PODIATRY INC
Location Address233 OSCEOLA AVEOrmond Beach, FL 32176-6638
Mailing Address233 Osceola AveOrmond Beach, FL 32176-6638 · (386) 672-6424 · Fax (386) 672-5251
Phone(386) 672-6424
Fax(386) 672-5251
Organization SubpartNo
Authorized OfficialDonald C JohnsonDpm / Owner · (386) 672-6424
Enumeration DateOctober 15, 2007
Last NPPES UpdateJuly 9, 2010
✔ NPI 1104014208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
233 OSCEOLA AVE, Ormond Beach, FL 32176
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Other Identifiers 2

OtherK0055Medicare Group Number
Medicare NSC1191560001

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Coast Podiatry Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to East Coast Podiatry Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Lisa Farrar, DPM
Podiatry
NPI 1992798318
233 OSCEOLA AVE
Ormond Beach, FL 32176
(386) 672-6424
✔ PECOS✔ Accepts MedicareSame address
Donald Johnson, DPM
Podiatry
NPI 1386637700
233 OSCEOLA AVE
Ormond Beach, FL 32176
(386) 672-6424
✔ PECOS✔ Accepts MedicareSame address
Robert Weaver, DPM
Podiatry
NPI 1760461784
6551 WILSON MILLS RD SUITE #104
Mayfield Village, OH 44143
(440) 442-3113
✔ PECOS✔ Accepts Medicare845 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 East Coast Podiatry Inc's NPI number?

The NPI number for East Coast Podiatry Inc is 1104014208. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is East Coast Podiatry Inc located?

East Coast Podiatry Inc is located at 233 Osceola Ave, Ormond Beach, FL 32176. The listed phone number is (386) 672-6424.

What is East Coast Podiatry Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is East Coast Podiatry Inc enrolled in Medicare?

Yes. East Coast Podiatry Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Coast Podiatry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to East Coast Podiatry Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Coast Podiatry Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama and Florida Blue (BlueCross BlueShield FL) list East Coast Podiatry Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Coast Podiatry Inc was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.