PODIATRIC MEDICAL PARTNERS OF TEXAS, PA (NPI# 1417397522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417397522 |
Entity Type | Organization |
Organization Name | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
Other Organization Name | FAMILY FOOT CLINIC |
Practice Address |
1675 Republic Pkwy Suite 101 Mesquite TX 75150-6903 |
Mailing Address |
5995 Summerside Dr Unit 794144 Dallas TX 75379-0049 |
Practice Telephone | 9722707627 |
Practice Fax Number | 9728707759 |
Mailing Telephone | 9722540680 |
Mailing Fax Number | 9722540683 |
Enumeration Date | 2013-07-03 |
Last Update Date | 2013-07-03 |
Authorized Official Name | DR. JAY D LIFSHEN (PRESIDENT) |
Authorized Official Telephone | 9722540680 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
FAMILY FOOT CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609349182 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 600 Ferris Ave Ste A, Waxahachie, TX 75165-3030 | 2019-01-07 |
1275053480 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2338 Texas St Ste B, Pecos, TX 79772 | 2017-06-20 |
1578938544 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 166 Heritage Pkwy, Gun Barrel City, TX 75156-3712 | 2015-12-02 |
1083032924 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 514 E Corsicana St, Suite 3, Athens, TX 75751-2506 | 2014-03-28 |
1316258429 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2625 Matlock Rd, Suite 103, Arlington, TX 76015-2519 | 2010-06-24 |
1659682763 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5459 La Sierra Dr, Suite 101, Dallas, TX 75231-2347 | 2010-06-24 |
1023330651 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 4333 N Josey Ln Ste 102, Carrollton, TX 75010-4620 | 2010-02-24 |
1588986145 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 7100 Oakmont Blvd Ste 208, Fort Worth, TX 76132-3911 | 2010-02-24 |
1942522503 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 1151 N Buckner Blvd Ste 201, Dallas, TX 75218-3400 | 2010-02-24 |
1265993158 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 1151 N Buckner Blvd Ste 201, Dallas, TX 75218-3400 | 2019-03-25 |
Street Address |
1675 REPUBLIC PKWY SUITE 101 |
City | MESQUITE |
State | TX |
Zip Code | 75150-6903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326073115 | Michael Jan Miller | Podiatrist | 1675 Republic Pkwy, Suite 101, Mesquite, TX 75150-6903 | 2006-07-11 |
1205209574 | Udoka Omenukor | Dietitian, Registered | 1675 Republic Pkwy, #200-a, Mesquite, TX 75150-6903 | 2015-11-08 |
1215307715 | Keyna Omenukor | Nurse Practitioner | 1675 Republic Pkwy, #101, Mesquite, TX 75150-6903 | 2015-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124630991 | Affordable Home Health Care | Home Health | 3637 E. Us. Highway 80, Mesquite, TX 75150 | 2020-08-21 |
1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
1578109542 | Phyllis Renee Cephas | Counselor | 2200 N. Belt Line Road, #728, Mesquite, TX 75150 | 2019-11-25 |
1033766068 | Darryl E Richmond Jr. | Physical Therapist | 2578 N Galloway Ave, 100, Mesquite, TX 75150 | 2019-08-23 |
1922666916 | Jd Mesquite Dental Pllc | Dentist | 909 Tripp Rd Ste 190, Mesquite, TX 75150 | 2019-06-04 |
1134681349 | Champions Rehabilitation, LLC | Clinic/Center | 1675 Republic Parkway Suite 201, Mesquite, TX 75150 | 2019-04-05 |
1205317351 | Sheila Katherine Bartley | Occupational Therapist | 3617 O'hare Dr., Mesquite, TX 75150 | 2018-08-27 |
1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
1053890244 | Barbara Mohrle | Occupational Therapist | 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 | 2018-08-09 |
1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
Find all providers in zip 75150 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818941 | Interventional Partners LLC | Podiatrist | 3415 N Loy Lake Rd, Sherman, TX 75090-1744 | 2019-08-28 |
1467958538 | San Antonio Foot and Ankle Center, LLC | Podiatrist | 11212 State Highway 151 Ste 370, San Antonio, TX 78251-4504 | 2018-04-05 |
1972959161 | Darlene Dao Carter | Podiatrist | 5925 Forest Ln Ste 121, Dallas, TX 75230-6101 | 2016-05-06 |
1538552948 | Chetapon Nopachinda | Podiatrist | 1120 Medical Plaza Dr Ste 120, Shenandoah, TX 77380-5250 | 2015-03-09 |
1245647247 | Ravinder Reddy | Podiatrist | 3136 Horizon Rd Ste 120, Rockwall, TX 75032-7808 | 2014-07-22 |
1316258429 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2625 Matlock Rd, Suite 103, Arlington, TX 76015-2519 | 2010-06-24 |
1659682763 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5459 La Sierra Dr, Suite 101, Dallas, TX 75231-2347 | 2010-06-24 |
1811208994 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2010-06-23 |
1023330651 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 4333 N Josey Ln Ste 102, Carrollton, TX 75010-4620 | 2010-02-24 |
1588986145 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 7100 Oakmont Blvd Ste 208, Fort Worth, TX 76132-3911 | 2010-02-24 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.