JONATHAN M KLETZ DPM P A
NPI 1366611006
Podiatrist - Foot & Ankle Surgery in Athens, TX

Active since February 27, 2008
514 E CORISICANA ST STE B, ATHENS, TX 75751(909) 677-9090(903) 677-9091 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan M Kletz Dpm P A NPPES

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

JONATHAN M KLETZ DPM P A (NPI 1366611006) is a healthcare organization registered as a foot & ankle surgery in Athens, Texas and active in the NPI registry since February 2008. The organization lists Jonathan Mark Kletz, President, as its authorized official.

NPPES Registry Identity

NPI1366611006
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJONATHAN M KLETZ DPM P A
Location Address514 E CORISICANA ST STE BAthens, TX 75751-2506
Mailing Address6760 Abrams Rd, Ste 203Dallas, TX 75231-0246 · (214) 340-8885 · Fax (214) 340-4046
Fax(903) 677-9091
Organization SubpartNo
Authorized OfficialJonathan Mark KletzPresident · (214) 340-8885
Enumeration DateFebruary 27, 2008
Last NPPES UpdateApril 24, 2008
NPI 1366611006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TX · 1102
514 E CORISICANA ST STE B, Athens, TX 75751

Other Identifiers 4

Medicaid120518901TX
Medicare NSC4922850001TX
Medicare UPINUO2977
Medicare PIN00Y841TX

Group Practice 1

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

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 Jonathan M Kletz Dpm P A's NPI number?

The NPI number for Jonathan M Kletz Dpm P A is 1366611006. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Jonathan M Kletz Dpm P A located?

Jonathan M Kletz Dpm P A is located at 514 E Corisicana St Ste B, Athens, TX 75751. The listed phone number is (909) 677-9090.

What is Jonathan M Kletz Dpm P A's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Jonathan M Kletz Dpm P A was last updated on April 24, 2008. 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.