FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC
NPI 1457665663
Podiatrist - Foot & Ankle Surgery in Orange Park, FL

Q: What is First Coast Podiatric Surgery And Wound Care LLC's specialty?

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

Active since July 29, 2010

1409 KINGSLEY AVE, SUITE 9-G, ORANGE PARK, FL 32073(904) 637-0037 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About First Coast Podiatric Surgery And Wound Care Llc NPPES

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

FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC (NPI 1457665663) is a healthcare organization registered as a foot & ankle surgery in Orange Park, Florida and active in the NPI registry since July 2010. The organization lists Jorg Alexander Bober, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1457665663

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameFIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC

Location Address1409 KINGSLEY AVE, SUITE 9-GOrange Park, FL 32073-4537

Mailing AddressPo Box 1653Orange Park, FL 32067-1653 · (904) 637-0037

Phone(904) 637-0037

Organization SubpartNo

Authorized OfficialJorg Alexander BoberOwner/podiatrist · (904) 422-1566

Enumeration DateJuly 29, 2010

Last NPPES UpdateMarch 1, 2011

✔ NPI 1457665663 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

License✔ Licensed in FL · PO 3294

1409 KINGSLEY AVE, Orange Park, FL 32073

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Other Identifiers 4

Medicare PINDN245AFL

Medicaid002932200FL

Medicare NSC6461190001FL

Other0018BFL · Bcbs

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 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)

First Coast Podiatric Surgery And Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to First Coast Podiatric Surgery And Wound Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jorg Bober, DPM

Podiatry

NPI 1720108012

1409 KINGSLEY AVE SUITE 9-G
Orange Park, FL 32073

(904) 637-0037

✔ PECOS✔ Accepts MedicareSame address

Arles Jhan Rustia, DPM

Podiatry

NPI 1760945109

703 N FLAMINGO RD
Pembroke Pines, FL 33028

(954) 844-1402

✔ PECOS✔ Accepts Medicare299 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 First Coast Podiatric Surgery And Wound Care LLC's NPI number?

The NPI number for First Coast Podiatric Surgery And Wound Care LLC is 1457665663. It was assigned to this organization in the NPPES registry on July 29, 2010.

Where is First Coast Podiatric Surgery And Wound Care LLC located?

First Coast Podiatric Surgery And Wound Care LLC is located at 1409 Kingsley Ave Suite 9-G, Orange Park, FL 32073. The listed phone number is (904) 637-0037.

What is First Coast Podiatric Surgery And Wound Care LLC's specialty?

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

Is First Coast Podiatric Surgery And Wound Care LLC enrolled in Medicare?

Yes. First Coast Podiatric Surgery And Wound Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Coast Podiatric Surgery And Wound Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to First Coast Podiatric Surgery And Wound Care LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does First Coast Podiatric Surgery And Wound Care LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list First Coast Podiatric Surgery And Wound Care LLC 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 First Coast Podiatric Surgery And Wound Care LLC was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.