OrganizationActive
Timothy C. Runyon, DPM, PA
NPI 1700540549 · Non-Pharmacy Dispensing Site · Cape Coral, FL
Provider details
- NPI number
- 1700540549
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Timothy C. Runyon, DPM, PA
- Organization subpart
- Yes
- Authorized official
- Kyle Kinmon, President/ Owner(561) 995-0229
Specialties & taxonomies
Suppliers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
- Primary Podiatric Medicine Podiatrist213EP1101X
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1003 Del Prado Blvd S Ste 303
Cape Coral, FL 33990-3601
Phone: (239) 689-3843
Fax: (239) 689-3852
Street-level locationGet directions
Mailing address
1401 16th St N
St Petersburg, FL 33704-4123
Other names (DBA / former)
- Doing business as
- Certified Foot & Ankle Specialists
- Doing business as
- Certified Foot & Ankle Specialists
Registry dates
- Enumerated
- 2021-10-27
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.