PRIVIA MEDICAL GROUP GULF COAST, PLLC - NPI 1689267783

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

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

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About Privia Medical Group Gulf Coast, Pllc NPPES

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

PRIVIA MEDICAL GROUP GULF COAST, PLLC (NPI 1689267783), doing business as Shine Foot And Ankle Center, Privia Medical Group Gulf Coast, Pllc, is a healthcare organization registered as a podiatrist in Austin, Texas and active in the NPI registry since February 2021. The organization lists Barbara Jordan, Associate Vp, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1689267783

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NamePRIVIA MEDICAL GROUP GULF COAST, PLLC

Location Address11614 FM 2244 RD STE 150Austin, TX 78738-5471

Mailing Address1200 Binz St Ste 1490Houston, TX 77004-6946 · (713) 512-7700

Phone(512) 399-5711

Fax(512) 339-5707

Organization SubpartNo

Authorized OfficialBarbara JordanAssociate Vp, Revenue Cycle · (713) 512-7613

Enumeration DateFebruary 19, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1689267783 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.

11614 FM 2244 RD STE 150, Austin, TX 78738

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Other Names 1

Doing Business AsShine Foot And Ankle Center, Privia Medical Group Gulf Coast, 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 2

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

SHINE FOOT AND ANKLE CENTER

Podiatrist

11614 FM 2244 RD STE 150
AUSTIN, TX 78738

Travis County (512) 705-7737

DR. SHINE JOHN DPM

Podiatrist (Foot & Ankle Surgery)

11614 FM 2244 RD STE 150
AUSTIN, TX 78738

Travis County (512) 399-5711

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 1689267783. It was assigned to this organization in the NPPES registry on February 19, 2021. The provider is doing business as Shine Foot and Ankle Center, Privia Medical Group Gulf Coast, PLLC.

Where is Privia Medical Group Gulf Coast, PLLC located?

Privia Medical Group Gulf Coast, PLLC is located at 11614 Fm 2244 Rd Ste 150, Austin, TX 78738. 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 February 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.