Coast To Coast Podiatry Inc
NPI 1790896264ActiveOrganization· Podiatrist· Tarpon Springs, FL
Podiatrist in Tarpon Springs, Florida, registered in NPPES in August 2006, part of Coast To Coast Podiatry Inc. The authorized official on file is Michael E. Domis, DPM, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790896264 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Coast To Coast Podiatry Inc |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Mar 21, 2021 |
| Certified by provider | Mar 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | PO2713 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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