SOUTH AUSTIN FOOT ASSOCIATES PC (NPI# 1992816912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992816912 |
| Entity Type | Organization |
| Organization Name | SOUTH AUSTIN FOOT ASSOCIATES PC |
| Other Organization Name | SOUTH CLINIC FOOT CLINIC A PROFESSIONAL CORPORATION |
| Practice Address |
4207 James Casey Ste 315 Austin TX 78745 |
| Practice Telephone | 5124472025 |
| Practice Fax Number | 5124474968 |
| Mailing Telephone | 5124472025 |
| Mailing Fax Number | 5124474968 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | GERALD N ZERINQUE JR. (PRESIDENT) |
| Authorized Official Telephone | 5124472025 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0709 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 0823 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP | 00DG46 | 01 | |
| TX | NPI- INDIVIDUAL | 1083764419 | 01 |
| TX | 0821688-01 | 05 | |
| TX | NPI- INDIVIDUAL | 1497805980 | 01 |
| Other Name | Type Code |
|---|---|
| South Clinic Foot Clinic A Professional Corporation | Former Legal Business Name - Organization |
| Street Address |
4207 JAMES CASEY STE 315 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1649652256 | Milam Raemsch | Podiatrist | 9012 Research Blvd Ste C13, Austin, TX 78758 | 2015-06-19 |
| 1073866232 | Angela L Drury PC | Podiatrist | 2312 Western Trails, Suite 103, Austin, TX 78745-1642 | 2012-10-24 |
| 1821369117 | Heidi Antonette Holets | Podiatrist | 7800 Shoal Creek, Suite 130w-a, Austin, TX 78757-1043 | 2012-01-19 |
| 1962698241 | Babak Kaviani | Podiatrist | 3921 Steck Ave Ste A114, Austin, TX 78759-8669 | 2007-09-19 |
| 1649323270 | Jessica Marie St.louis | Podiatrist | 5200 Davis Ln Ste B120, Austin, TX 78749-4068 | 2007-01-18 |
| 1750464251 | Austin Foot Center Professional Coporation | Podiatrist | 5656 W Bee Caves Rd, #d204, Austin, TX 78746-5236 | 2006-10-20 |
| 1427130806 | Carlton E Newman | Podiatrist | 1306 W Anderson Lane, Austin, TX 78757-1451 | 2006-10-19 |
| 1942380050 | Jennifer A Ostrowski | Podiatrist | 8230 Spicewood Springs Rd, #7, Austin, TX 78759-6864 | 2006-10-16 |
| 1831298470 | Save The Feet Mobile Podiatry Pllc | Podiatrist | 7901 Cameron Rd Ste 3-343, Austin, TX 78754-3849 | 2006-09-21 |
| Find all providers in AUSTIN | ||||
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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.