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TIDEWATER FOOT & ANKLE ASSOCIATES, INC.
NPI 1629573217
Podiatrist - Foot & Ankle Surgery in Palm Harbor, FL

Active since March 27, 2018
4168 WOODLANDS PKWY STE B, PALM HARBOR, FL 34685(813) 925-9431 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Feb 5, 2019, Jul 3, 2018 and 1 more (4 updates tracked since 2018).

About Tidewater Foot & Ankle Associates, Inc. NPPES

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

TIDEWATER FOOT & ANKLE ASSOCIATES, INC. (NPI 1629573217) is a healthcare organization registered as a foot & ankle surgery in Palm Harbor, Florida and active in the NPI registry since March 2018. The organization lists Megan Johnson, Owner/ Physician, as its authorized official.

NPPES Registry Identity

NPI1629573217
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTIDEWATER FOOT & ANKLE ASSOCIATES, INC.
Location Address4168 WOODLANDS PKWY STE BPalm Harbor, FL 34685-3496
Mailing Address4168 Woodlands Pkwy Ste BPalm Harbor, FL 34685-3496 · (813) 925-9431
Phone(813) 925-9431
Organization SubpartNo
Authorized OfficialMegan JohnsonOwner/ Physician · (813) 925-9431
Enumeration DateMarch 27, 2018
Last NPPES UpdateJune 10, 20244 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1629573217 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 · PO3663
4168 WOODLANDS PKWY STE B, Palm Harbor, FL 34685
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Other Identifiers 1

Other7720870001FL · Dmerc

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 ›

Other Providers at the Same Location NPPES 3

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

TIDEWATER FOOT & ANKLE ASSOCIATES, INC.
Podiatrist
4168 WOODLANDS PKWY STE B
PALM HARBOR, FL 34685
Pinellas County (813) 925-9431
DR. MEGAN BROOK JOHNSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
4168 WOODLANDS PKWY STE B
PALM HARBOR, FL 34685
Pinellas County (813) 925-9431
DR. KYLE JOHNSON DPM
Podiatrist (Foot & Ankle Surgery)
4168 WOODLANDS PKWY STE B
PALM HARBOR, FL 34685
Pinellas County (813) 925-9431

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 Tidewater Foot & Ankle Associates, Inc.'s NPI number?

The NPI number for Tidewater Foot & Ankle Associates, Inc. is 1629573217. It was assigned to this organization in the NPPES registry on March 27, 2018.

Where is Tidewater Foot & Ankle Associates, Inc. located?

Tidewater Foot & Ankle Associates, Inc. is located at 4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685. The listed phone number is (813) 925-9431.

What is Tidewater Foot & Ankle Associates, Inc.'s specialty?

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

What insurance does Tidewater Foot & Ankle Associates, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Tidewater Foot & Ankle Associates, 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 Tidewater Foot & Ankle Associates, Inc. was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.