John Randall Northrup
D.P.M. | Podiatrist | 10+ years Exp
Medicare Enrolled
1690 Us Highway 1 S Ste C, St Augustine
Florida, 32084-6024
904-436-8001 904-377-6776
Maps & DirectionsJohn Randall Northrup is a St Augustine, Florida based podiatrist with 10 years of experience in Podiatry. He completed his graduation from Barry University School Of Podiatric Medicine in 2015. He is also affiliated with hospitals like Flagler Hospital and Putnam Community Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of John Randall Northrup for Podiatric Foot & Ankle Surgery is PO3952 in Florida.
John Randall Northrup is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
John Randall Northrup speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Experience: | 10+ years |
| Medical School Attended: | Barry University School Of Podiatric Medicine |
| Graduation Year: | 2015 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1690 Us Highway 1 S Ste C, St Augustine,
Florida, 32084-6024 |
| Phone: | 904-436-8001 |
| Fax: | 904-377-6776 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7113266636 |
| Enrollment ID: | I20190228000511 |
| NPI Number: | 1891178406 |
| NPI Enumeration Date: | 30 Jun, 2015 |
| NPI Last Update On: | 31 Oct, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Randall Northrup are as mentioned below.
| License Number | Specialization | State | Status | |
| PO3952 | Podiatric Foot & Ankle Surgery | Florida | Primary | |
| PO3952 | Podiatry | Florida | Secondary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Flagler Hospital (100090) | Saint augustine, FL | Acute Care Hospital |
| Putnam Community Medical Center (100232) | Palatka, FL | Acute Care Hospital |
| Florida Hospital Flagler (100118) | Palm coast, FL | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with John Randall Northrup such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 101521600 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1690 Us Highway 1 S Ste C,
St Augustine, Florida |
| Zip: | 32084-6024 |
| Phone Number: | 904-436-8001 |
| Fax Number: | 904-376-7761 |
Patients can reach John Randall Northrup at
1690 Us Highway 1 S Ste C, St Augustine, Florida or can
call to book an appointment on 904-436-8001.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.