Dr. Kyle Haverstrom is a Largo, Florida based male podiatrist with 7 years of experience in Podiatry. He completed his graduation in 2017. He is also affiliated with hospitals like St Josephs Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kyle Haverstrom for Podiatric Foot & Ankle Surgery is PO4312 in Florida. Dr. Kyle Haverstrom 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:
Dr. Kyle Haverstrom 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.
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:
8729322136
Enrollment ID:
I20210726002208
NPI Number:
1649791369
NPI Enumeration Date:
03 Jul, 2017
NPI Last Update On:
12 Aug, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kyle Haverstrom are as mentioned below.
License Number
Specialization
State
Status
PO4312
Podiatric Foot & Ankle Surgery
Florida
Primary
PO4312
Podiatry
Florida
Secondary
PO4312
Primary Podiatric Medicine
Florida
Secondary
PO4312
Podiatric Sports Medicine
Florida
Secondary
PO4312
Podiatric Foot Surgery
Florida
Secondary
Hospital Affiliation:
Surgeons 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
St Josephs Hospital (100075)
Tampa, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kyle Haverstrom is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
All Podiatry Group Inc (0042252140)
10
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kyle Haverstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
111187000
Medicaid
Florida
5G5CI
Other
Florida
BCBS
14929205
Other
CAQH ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15815 Shaddock Dr Ste 130, Winter Garden, Florida
Zip:
34787-5773
Phone Number:
813-400-1140
Fax Number:
813-701-9132
Patients can reach Dr. Kyle Haverstrom at 11200 Seminole Blvd Ste 305, Largo, Florida or can call to book an appointment on 727-431-9552. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Dr. David John Loiselle, DPM Speciality: Podiatrist - Foot & Ankle Surgery Address: 14219 Walsingham Rd, Suite K, FL Phone: 727-596-9703 Fax: 727-596-9703