ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA (NPI# 1962708792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962708792 |
Entity Type | Organization |
Organization Name | ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA |
Other Organization Name | MANSFIELD FOOT AND ANKLE |
Practice Address |
1001 Matlock Rd Ste 103 Mansfield TX 76063 |
Mailing Address |
400 W Arbrook Blvd Suite 201 Arlington TX 76014-3174 |
Practice Telephone | 8174671990 |
Mailing Telephone | 8174671990 |
Mailing Fax Number | 8174668737 |
Enumeration Date | 2011-01-26 |
Last Update Date | 2018-08-29 |
Authorized Official Name | JOE SOUTHERLAND (DPM/OWNER) |
Authorized Official Telephone | 8174671990 |
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 |
Other Name | Type Code |
---|---|
Mansfield Foot and Ankle | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811208994 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2010-06-23 |
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 |
---|---|---|---|---|
1811208994 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2010-06-23 |
1518522804 | Interventional Partners LLC | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063-3443 | 2019-05-02 |
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 | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154844348 | Pryme Foot & Ankle Center Pllc | Podiatrist | 1759 Broad Park Cir S #205, Mansfield, TX 76063-7834 | 2017-07-20 |
1902131774 | Bryan Haney Molen | Podiatrist | 1759 Broad Park Cir S Ste 205, Mansfield, TX 76063-7834 | 2009-10-12 |
1649264219 | Ralph G Osting | Podiatrist | 860 Woodville Rd, Mansfield, OH 44907-2167 | 2005-09-09 |
1841284692 | Jeffrey O Schwein | Podiatrist | 377 Marion Ave, Mansfield, OH 44903-2064 | 2005-09-08 |
1659800746 | Chloe M Chisnell | Podiatrist | 381 Cline Ave, Mansfield, OH 44907-1021 | 2017-06-12 |
1851701510 | Rebecca Courtney Inwood | Podiatrist | 550 S Trimble Rd, Mansfield, OH 44906-3418 | 2014-05-04 |
1902185549 | Advanced Foot and Ankle Surgeons,inc | Podiatrist | 860 Woodville Rd, Mansfield, OH 44907-2167 | 2011-08-14 |
1275782377 | Michael G. Swiatek | Podiatrist | 377 Marion Ave, Mansfield, OH 44903-2064 | 2008-09-12 |
1225293020 | Jessica Rose Brent | Podiatrist | 600 W 3rd St, Mansfield, OH 44906-2633 | 2008-07-22 |
1922198159 | Schwein Foot & Ankle Clinic, Inc | Podiatrist | 377 Marion Ave, Mansfield, OH 44903-2064 | 2006-10-16 |
Find all providers in MANSFIELD |
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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.