Coastal Foot & Ankle Wellness Center LLC
NPI 1972834760ActiveOrganization· Podiatrist, Foot & Ankle Surgery· St Augustine, FL
Podiatrist, Foot & Ankle Surgery in St Augustine, Florida, registered in NPPES in January 2010. The authorized official on file is Richard W. Johnson, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1972834760 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2010 |
| Last updated in NPPES | Dec 27, 2020 |
| Certified by provider | Dec 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | P02829 | 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 DME Supplier - Physician - Podiatry (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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