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SHINE FOOT AND ANKLE CENTER, PLLC
NPI 1437880002
Podiatrist in Austin, TX

Active since June 23, 2022
3901 MEDICAL PKWY STE 301, AUSTIN, TX 78756(512) 399-5711 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shine Foot And Ankle Center, Pllc NPPES

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

SHINE FOOT AND ANKLE CENTER, PLLC (NPI 1437880002) is a healthcare organization registered as a podiatrist in Austin, Texas and active in the NPI registry since June 2022. The organization lists Barbara Jordan, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1437880002
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRIVIA MEDICAL GROUP GULF COAST, PLLC
Location Address3901 MEDICAL PKWY STE 301Austin, TX 78756-4022
Mailing Address1200 Binz St Ste 1490Houston, TX 77004-6946 · (713) 512-7700
Phone(512) 399-5711
Organization SubpartNo
Authorized OfficialBarbara JordanAuthorized Official · (713) 512-7613
Enumeration DateJune 23, 2022
Last NPPES UpdateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1437880002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
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.
3901 MEDICAL PKWY STE 301, Austin, TX 78756
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Other Names 1

Doing Business AsShine Foot And Ankle Center, Pllc

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

Other Providers at the Same Location NPPES

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

SEAN M GALLAGHER MD PLLC
Orthopaedic Surgery
3901 MEDICAL PKWY STE 301
AUSTIN, TX 78756
Travis County (512) 960-4590

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 Privia Medical Group Gulf Coast, PLLC's NPI number?

The NPI number for Privia Medical Group Gulf Coast, PLLC is 1437880002. It was assigned to this organization in the NPPES registry on June 23, 2022. The provider is doing business as Shine Foot And Ankle Center, PLLC.

Where is Privia Medical Group Gulf Coast, PLLC located?

Privia Medical Group Gulf Coast, PLLC is located at 3901 Medical Pkwy Ste 301, Austin, TX 78756. The listed phone number is (512) 399-5711.

What is Privia Medical Group Gulf Coast, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Gulf Coast, PLLC was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.