SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC (NPI# 1659708220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659708220 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC |
| Practice Address |
5625 Eiger Rd Ste 110 Austin TX 78735-8978 |
| Practice Telephone | 5124474122 |
| Practice Fax Number | 5126144131 |
| Mailing Telephone | 5124474122 |
| Mailing Fax Number | 5126144131 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | MARK DEE WHITESIDES (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5124474122 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689179327 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | 2018-03-26 |
| 1740769819 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 5625 Eiger Rd Ste 110, Austin, TX 78735-8978 | 2018-08-09 |
| Street Address |
5625 EIGER RD STE 110 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735-8978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769819 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 5625 Eiger Rd Ste 110, Austin, TX 78735-8978 | 2018-08-09 |
| 1497132401 | Vi Nguyen | Podiatrist | 5625 Eiger Rd Ste 110, Austin, TX 78735-8978 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| Find all providers in zip 78735 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669606414 | Brent S Wood | Podiatrist | 3107 Oak Creek Dr 120, Austin, TX 78727-3025 | 2009-05-08 |
| 1427263938 | Austin Podiatry Pa | Podiatrist | 4100 Duval Rd Ste 2-102, Austin, TX 78759-4273 | 2007-05-10 |
| 1770593469 | Maria Lucchese | Podiatrist | 6000 Shepherd Mountain Cv Apt 509, Austin, TX 78730-4902 | 2006-08-08 |
| 1982622759 | Trinity M Mereau | Podiatrist | 900 East 30th Street, Suite 311, Austin, TX 78705-3378 | 2006-07-18 |
| 1740271196 | Arush K Angirasa | Podiatrist | 2500 W. William Cannon Drive, Suite 401, Austin, TX 78745-5290 | 2005-11-03 |
| 1760480347 | Craig Howard Thomajan | Podiatrist | 5000 Bee Cave Rd, Suite 202, Austin, TX 78746-5266 | 2005-07-08 |
| 1508353152 | Bluebonnet Foot and Ankle Institute, LLC | Podiatrist | 3921 Steck Ave Ste A114, Austin, TX 78759-8669 | 2018-04-19 |
| 1093252421 | Thomajan Foot Care Pa | Podiatrist | 2312 Western Trails Blvd, Suite 103, Austin, TX 78745-1642 | 2017-01-24 |
| 1962948158 | Thomajan Foot Care Pa | Podiatrist | 1600 W 38th St, Suite 318, Austin, TX 78731-6400 | 2017-01-11 |
| 1225407489 | Atx Foot & Ankle Pllc | Podiatrist | 9012 Research Blvd, Suite C-13, Austin, TX 78758-7093 | 2015-09-17 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC.
| 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.