ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA (NPI# 1811208994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811208994 |
Entity Type | Organization |
Organization Name | ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA |
Other Organization Name | MANSFIELD FOOT AND ANKLE CENTER |
Practice Address |
1001 Matlock Rd Ste 103 Mansfield TX 76063 |
Mailing Address |
400 W Arbrook Blvd Ste 201 Arlington TX 76014-3176 |
Practice Telephone | 8174671990 |
Mailing Telephone | 9724671990 |
Mailing Fax Number | 8174668737 |
Enumeration Date | 2010-06-23 |
Last Update Date | 2018-09-06 |
Authorized Official Name | DR. JOE SOUTHERLAND (OWNER) |
Authorized Official Telephone | 8174671990 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | DMERC NSC | 7691060002 | 01 |
Other Name | Type Code |
---|---|
MANSFIELD FOOT AND ANKLE CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962708792 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2011-01-26 |
1528380318 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 400 W Arbrook Blvd, Suite 201, Arlington, TX 76014 | 2010-02-19 |
1356544118 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 400 W Arbrook Blvd, Ste 201, Arlington, TX 76014-3174 | 2007-06-08 |
Street Address |
1001 MATLOCK RD STE 103 |
City | MANSFIELD |
State | TX |
Zip Code | 76063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518522804 | Interventional Partners LLC | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063-3443 | 2019-05-02 |
1962708792 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2011-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
Find all providers in zip 76063 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437126935 | Peter Austin Wiggin | Podiatrist | 74 Wood St, Mansfield, OH 44903-2211 | 2006-03-02 |
1043305337 | Peter A Wiggin Dpm Inc | Podiatrist | 74 Wood St, Mansfield, OH 44903-2211 | 2006-10-04 |
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 |
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 |
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.