SMAC PODIATRY (NPI# 1831581123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831581123 |
| Entity Type | Organization |
| Organization Name | SMAC PODIATRY |
| Practice Address |
17045 El Camino Real Houston TX 77058-2649 |
| Mailing Address |
16339 Laurelfield Dr Houston TX 77059-6519 |
| Practice Telephone | 2817315610 |
| Mailing Telephone | 2817315610 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | STEPHEN ANTHONY NEVINS (OWNER) |
| Authorized Official Telephone | 2817315610 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
1388 | TX | Ambulatory Health Care Facilities |
| Street Address |
17045 EL CAMINO REAL |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131469 | Monica Lynn Montoya | Chiropractor | 17045 El Camino Real, Suite 200, Houston, TX 77058-2649 | 2006-04-05 |
| 1730625229 | Christopher S Marullo | Counselor | 17045 El Camino Real, Suite 210, Houston, TX 77058-2649 | 2017-01-09 |
| 1063965739 | Samantha Salazar | Counselor | 17045 El Camino Real, Suite 211, Houston, TX 77058-2649 | 2016-07-29 |
| 1568838027 | Allison Rankin | Physical Therapist | 17045 El Camino Real, Unit 106, Houston, TX 77058-2649 | 2015-08-18 |
| 1225420052 | Kathleen Moses | Occupational Therapist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2015-03-03 |
| 1720481039 | Laurie Gibbs | Speech-Language Pathologist | 17045 El Camino Real, Houston, TX 77058-2649 | 2014-09-30 |
| 1417366139 | Newman Psychology & Assoicates Pllc | Preferred Provider Organization | 17045 El Camino Real, 213, Houston, TX 77058-2649 | 2014-08-06 |
| 1891108965 | Sonja Halvorson | Occupational Therapist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2014-06-06 |
| 1114349388 | Jodi Renee Singer | Occupational Therapist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2014-01-07 |
| 1518212505 | Karen Kitch | Occupational Therapist | 17045 El Camino Real, #106, Houston, TX 77058-2649 | 2012-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417205568 | Achilles Foot and Ankle Specialists Pllc | Clinic/Center | 4120 Directors Row, Ste D, Houston, TX 77092-8740 | 2012-08-21 |
| 1053929430 | Executive Sole Podiatry, Pllc | Clinic/Center | 5373 W Alabama St Ste 204, Houston, TX 77056-5923 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381714 | Advanced Foot and Ankle Specialist of Texas Pllc | Clinic/Center | 8919 Cypress Shrub Trl, Richmond, TX 77407-2007 | 2019-02-07 |
| 1558857250 | Foot & Ankle Consultants of Texas, LLC | Clinic/Center | 412 Village Dr Ste 300, Murphy, TX 75094-4634 | 2018-07-05 |
| 1326578287 | Michael G. Krynski Dpm Pllc | Clinic/Center | 3926 Avenue H Ste 17, Rosenberg, TX 77471-2842 | 2017-06-14 |
| 1497107734 | Wichita Falls Podiatry, Pllc | Clinic/Center | 3510 Rugby Ln, Wichita Falls, TX 76310-1721 | 2016-07-11 |
| 1285073510 | Christopher D Schmitt Dpm Pllc | Clinic/Center | 1441 S Midlothian Pkwy Ste 120, Midlothian, TX 76065-5592 | 2013-06-20 |
| 1437403821 | Brent S Wood Dpm Pllc | Clinic/Center | 11645 Angus Rd Ste 4, Austin, TX 78759-4020 | 2012-11-07 |
| 1255683033 | Achilles Foot and Ankle Specialists Pllc | Clinic/Center | 3107 Oak Creek Dr, Ste 120, Austin, TX 78727-3020 | 2012-10-04 |
| 1639421555 | Achilles Foot and Ankle Specialists Pllc | Clinic/Center | 1605 Airport Fwy, Bedford, TX 76021-5730 | 2012-10-03 |
| 1407102890 | Dr Johnson Foot Prints LLC | Clinic/Center | 117 Highway 90a East, Richmond, TX 77469 | 2012-08-03 |
| 1053627273 | North Texas Foot and Ankle Specialists | Clinic/Center | 102 N Locust St # 102, Denton, TX 76201 | 2010-08-25 |
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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.