Dr. Timothy C Runyon
Radiology Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
1401 16th St N
St Petersburg
, Florida 33704-4123
Dr. Timothy C Runyon
Radiology Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
1401 16th St N
St Petersburg
, Florida 33704-4123
(727) 895-1215
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About
Features
Specialties
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Timothy C Runyon
- 1401 16th St N
- St Petersburg, FL
- Zip : 33704-4123
- Fax : (727) 895-1215
- Phone : (727) 894-0794
Second Address
- Dr. Timothy C Runyon
- 1401 16th St N
- St Petersburg, FL
- Zip : 33704-4123
- Fax : (727) 895-1215
- Phone : (727) 894-0794
Reviews
FAQs
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Is Dr. Timothy C Runyon a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | PO1101 | FL |
| N | 111NR0200X | Radiology | PO1101 | FL |
| N | 213ER0200X | Radiology | PO1101 | FL |
| N | 2081S0010X | Sports Medicine | PO1101 | FL |
| N | 213ES0000X | Sports Medicine | PO1101 | FL |
| Y | 213ES0103X | Foot & Ankle Surgery | PO1101 | FL |
National Provider Identifier
| NPI | 1881657740 |
|---|---|
| Provider Name | Dr. Timothy C Runyon |
| First Address | St Petersburg, FL 33704-4123 |
| Second Address | St Petersburg, FL 33704-4123 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 23/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041079900 | (05) | FL |
| 0854680001 | DMERC (01) | FL |
| T55440 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.