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STELLAR FOOT AND ANKLE SPECIALISTS LLC
NPI 1639838618
Podiatrist in New Smyrna Beach, FL

Active since December 17, 2021CLIA 10D2273430 · Certificate of Compliance
445 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169(386) 427-4020 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2022, Dec 17, 2021 (2 updates tracked since 2021).

About Stellar Foot And Ankle Specialists Llc NPPES

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

STELLAR FOOT AND ANKLE SPECIALISTS LLC (NPI 1639838618) is a healthcare organization registered as a podiatrist in New Smyrna Beach, Florida and active in the NPI registry since December 2021. The organization holds a CLIA Certificate of Compliance certificate valid through March 29, 2027 and lists Raymond Rowan, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1639838618
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSTELLAR FOOT AND ANKLE SPECIALISTS LLC
Location Address445 N CAUSEWAYNew Smyrna Beach, FL 32169-5266
Mailing Address445 N CausewayNew Smyrna Beach, FL 32169-5266 · (386) 427-4020
Phone(386) 427-4020
Organization SubpartNo
Authorized OfficialRaymond RowanPodiatrist · (954) 415-8097
Enumeration DateDecember 17, 2021
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1639838618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
445 N CAUSEWAY, New Smyrna Beach, FL 32169
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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 10D2273430

Stellar Foot And Ankle Specialists LLC · New Smyrna Beach, FL
Active · expires Mar 29, 2027
CLIA Number10D2273430
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorMarlon S. Osbourne
Laboratory Phone(386) 427-4020
Laboratory LocationStellar Foot And Ankle Specialists LLC445 N Causeway, New Smyrna Beach, FL 32169
CLIA data matches this NPI record on: Address 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

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

DR. ADISMARY SALINAS RECIO DPM
Podiatrist (Foot & Ankle Surgery)
445 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Volusia County (386) 427-4020

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 Stellar Foot And Ankle Specialists LLC's NPI number?

The NPI number for Stellar Foot And Ankle Specialists LLC is 1639838618. It was assigned to this organization in the NPPES registry on December 17, 2021.

Where is Stellar Foot And Ankle Specialists LLC located?

Stellar Foot And Ankle Specialists LLC is located at 445 N Causeway, New Smyrna Beach, FL 32169. The listed phone number is (386) 427-4020.

What is Stellar Foot And Ankle Specialists LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Stellar Foot And Ankle Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2273430) is associated with this NPI, valid through March 29, 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 Stellar Foot And Ankle Specialists LLC was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.