FOOT CLINIC OF EAST TEXAS PC (NPI# 1538534672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538534672 |
| Entity Type | Organization |
| Organization Name | FOOT CLINIC OF EAST TEXAS PC |
| Practice Address |
305 N 5th St Longview TX 75601-6518 |
| Mailing Address |
321 S Fannin Ave Tyler TX 75702-7321 |
| Practice Telephone | 9037573338 |
| Mailing Telephone | 9035930987 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | ROBERT PHELPS (OWNER) |
| Authorized Official Telephone | 9035930987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407142276 | Foot Clinic of East Texas PC | Podiatrist | 115 S Barron St, Rusk, TX 75785-1253 | 2011-06-21 |
| 1295064160 | Foot Clinic of East Texas PC | Podiatrist | 1324 Us Highway 271 N, Gilmer, TX 75644-5241 | 2009-12-23 |
| 1184688566 | Foot Clinic of East Texas PC | Podiatrist | 321 S Fannin Ave, Tyler, TX 75702-7321 | 2006-04-13 |
| Street Address |
305 N 5TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273937 | Misty Dawn Baker | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2005-08-24 |
| 1174952600 | East Texas Happy Feet Foot Clinic PC | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316032451 | Longview Foot & Ankle Clinic | Podiatrist | 783 Commerce Ave, Suite 120, Longview, WA 98632 | 2006-10-04 |
| 1609979145 | Karla Ann Trombello | Podiatrist | 1114 Broadway, Longview, WA 98632 | 2006-09-07 |
| 1316900376 | Bert Eagle Sharp | Podiatrist | 613 N 4th St, Longview, TX 75601-6616 | 2006-04-10 |
| 1306819032 | Billy B Westbrook | Podiatrist | 2828 4th St, Longview, TX 75605-5718 | 2006-02-13 |
| 1629064720 | John C Griffin | Podiatrist | 1106 N 6th St, Longview, TX 75601-5536 | 2005-09-23 |
| 1740273937 | Misty Dawn Baker | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2005-08-24 |
| 1356347637 | Selwyn Willis | Podiatrist | 609 E Whaley St, Longview, TX 75601-6526 | 2005-06-22 |
| 1174952600 | East Texas Happy Feet Foot Clinic PC | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2013-11-05 |
| 1952746026 | Kirkpatrick Family Care Foot and Ankle | Podiatrist | 783 Commerce Ave, Suite 120, Longview, WA 98632-2450 | 2013-05-02 |
| 1902199110 | Misty Baker The Foot Doctor, PC | Podiatrist | 2840 Bill Owens Pkwy, Ste A, Longview, TX 75605-2150 | 2011-05-20 |
| Find all providers in LONGVIEW | ||||
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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.