SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC (NPI# 1740769819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740769819 |
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 | 5127270505 |
Mailing Telephone | 5124474122 |
Mailing Fax Number | 5127270505 |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-09 |
Authorized Official Name | MARK DEE WHITESIDES (OWNER) |
Authorized Official Telephone | 5127891190 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
170 Benney Ln Ste 100, Dripping Springs, TX 786205566 | 5124474122 | 5127270505 |
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 |
1659708220 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 5625 Eiger Rd Ste 110, Austin, TX 78735-8978 | 2013-09-27 |
Street Address |
5625 EIGER RD STE 110 |
City | AUSTIN |
State | TX |
Zip Code | 78735-8978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659708220 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 5625 Eiger Rd Ste 110, Austin, TX 78735-8978 | 2013-09-27 |
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 | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861704496 | Save The Feet Mobile Podiatry Pllc | Podiatrist | 7901 Cameron Rd, Suite 3-343, Austin, TX 78754-3831 | 2010-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699513 | K. Danneeru Dpm Pllc | Podiatrist | 8104 Pacific St, Frisco, TX 75035-7300 | 2020-11-08 |
1689179327 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | 2018-03-26 |
1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
1639695406 | Advantage Foot Care of Houston, Pllc | Podiatrist | 8313 Southwest Fwy Ste 105, Houston, TX 77074-1612 | 2017-08-14 |
1508387549 | Barton Chase Garcia | Podiatrist | 116 Imperial Dr Ste A, Victoria, TX 77901-3948 | 2017-06-29 |
1609225986 | Kelly Tatum Brace | Podiatrist | Scott and White, 2401 S 31st. St., Temple, TX 76508-0001 | 2016-06-08 |
1164890562 | Free Foot Doctor.com | Podiatrist | 24914 Tomball Pkwy Ste 180, Tomball, TX 77375-5080 | 2015-09-02 |
1992069777 | Brady Mallory | Podiatrist | 1940 East Hwy 114 Suite 150, Southlake, TX 76092 | 2012-06-27 |
1699034728 | Joel Bruce Dacus | Podiatrist | 4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 | 2012-05-09 |
1619241437 | Foot Center Mcallen-weslaco Pllc | Podiatrist | 4103 N Jackson Road, Ste. 200, Mcallen, TX 78504 | 2012-02-24 |
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.