PODIATRY CLINICS P.A. (PODIATRY CLINICS P, A, ) NPI 1023297785

Podiatrist in Live Oak, TX

NPI 1023297785 Organization Podiatrist

About PODIATRY CLINICS P.A. (PODIATRY CLINICS P, A, )

Podiatry Clinics P.a. (podiatry Clinics P,a,) is a provider established in Live Oak, Texas specializing in podiatrist. The NPI number of Podiatry Clinics P.a. (podiatry Clinics P,a,) is 1023297785 and was assigned on October 2007. The practitioner's primary taxonomy code is 213E00000X with license number 1289 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. Podiatry Clinics P.a. (podiatry Clinics P,a,) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Podiatry Clinics P.a.. The authorized official of this NPI record is Dr. Catherine M Rezendes D.p.m. (President/owner)

A podiatrist like Podiatry Clinics P.a. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

NPI

1023297785

Provider NamePODIATRY CLINICS P.A. (PODIATRY CLINICS P,A,)
Provider Location Address12413 JUDSON RD STE 120 LIVE OAK, TX 78233
Provider Mailing Address12413 JUDSON RD STE 120 LIVE OAK, TX 78233
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePODIATRY CLINICS P.A.
Other Name TypeDoing Business As (3)
Enumeration Date10-30-2007
Last Update Date11-24-2009


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.1289
License StateTX
Taxonomy DescriptionA 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.

Business Address

PODIATRY CLINICS P.A.
12413 JUDSON RD
STE 120
LIVE OAK, TX
ZIP 78233
Phone: (210) 655-9965
Fax: (210) 655-9985

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Mailing Address

PODIATRY CLINICS P.A.
12413 JUDSON RD
STE 120
LIVE OAK, TX
ZIP 78233
Phone: (210) 655-9965
Fax: (210) 655-9985



Authorized Official

Authorized Official NameDR. CATHERINE M REZENDES D.P.M.
Authorized Official TitlePRESIDENT/OWNER
Authorized Official Phone(210) 655-9965

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0031HQOTHER (01)
00841TMEDICARE PIN (08)TX
178288001MEDICAID (05)TX
5277470001MEDICARE NSC (07)TX

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508006701NORTHEAST SAN ANTONIO HEARING AND BALANCE,LLC
Organization
Hearing Aid Equipment12413 JUDSON RD SUITE 200
LIVE OAK, TX 78233
(210) 653-1722
1588802979MISSION REHABILITATION AND SPORTS MEDICINE LIMITED PARTNERSHIP
Organization
Physical Therapist12413 JUDSON RD SUITE 260
LIVE OAK, TX 78233
(210) 656-7953
1700432549 VICTOR E ESPINOZA
Individual
Hearing Instrument Specialist12413 JUDSON RD
LIVE OAK, TX 78233
(210) 653-1722
1720002579 CATHERINE M. REZENDES DPM
Individual
Podiatrist12413 JUDSON RD STE.120
LIVE OAK, TX 78233
(210) 655-9965
1841527520 ASHLEY REGENIA ELIANO
Individual
Physical Therapist12413 JUDSON RD #260
LIVE OAK, TX 78233
(210) 656-7953
1871943860 KATRINA MARIE SIEFKEN
Individual
Physical Therapist12413 JUDSON RD STE 260
LIVE OAK, TX 78233
(210) 656-7953

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.