FOOT SPECIALISTS OF TYLER, PA
NPI 1114109170
Durable Medical Equipment & Medical Supplies in Tyler, TX

Q: What is Foot Specialists Of Tyler, PA's NPI number?

The NPI number for Foot Specialists Of Tyler, PA is 1114109170. It was assigned to this organization in the NPPES registry on December 3, 2007.

Q: What is Foot Specialists Of Tyler, PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since December 03, 2007

649 S BROADWAY AVE, SUITE 2, TYLER, TX 75701(903) 592-7200(903) 592-7211 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Foot Specialists Of Tyler, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOT SPECIALISTS OF TYLER, PA (NPI 1114109170) is a healthcare organization registered as a durable medical equipment & medical supplies in Tyler, Texas and active in the NPI registry since December 2007. The organization lists Charles D Rhodus, Owner, as its authorized official.

NPPES Registry Identity

NPI1114109170

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameFOOT SPECIALISTS OF TYLER, PA

Location Address649 S BROADWAY AVE, SUITE 2Tyler, TX 75701-1677

Mailing Address649 S. Broadway Ave, Suite 2Tyler, TX 75701 · (903) 592-7200 · Fax (903) 592-7211

Phone(903) 592-7200

Fax(903) 592-7211

Organization SubpartNo

Authorized OfficialCharles D RhodusOwner · (903) 592-7200

Enumeration DateDecember 3, 2007

✔ NPI 1114109170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in TX · L1375

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

649 S BROADWAY AVE, Tyler, TX 75701

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Other Identifiers 1

Other5885310001TX · Palmetto Pin

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAISSA AMEH WHNP, MSN

Nurse Practitioner (Women's Health)

649 S BROADWAY AVE, STE. 2
TYLER, TX 75701

Smith County (903) 939-2273

FOOT SPECIALISTS OF TYLER, PA

Podiatrist

649 S BROADWAY AVE, SUITE 2
TYLER, TX 75701

Smith County (903) 592-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foot Specialists Of Tyler, PA's NPI number?

The NPI number for Foot Specialists Of Tyler, PA is 1114109170. It was assigned to this organization in the NPPES registry on December 3, 2007.

Where is Foot Specialists Of Tyler, PA located?

Foot Specialists Of Tyler, PA is located at 649 S Broadway Ave Suite 2, Tyler, TX 75701. The listed phone number is (903) 592-7200.

What is Foot Specialists Of Tyler, PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Foot Specialists Of Tyler, PA was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.