SHOCK THOMAS GEN PTR
NPI 1750360699
Podiatrist in Lodi, CA

Active since January 10, 2006
1300 W LODI AVE, STE W, LODI, CA 95242(209) 334-6664(209) 334-2379 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shock Thomas Gen Ptr NPPES

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

SHOCK THOMAS GEN PTR (NPI 1750360699) is a healthcare organization registered as a podiatrist in Lodi, California and active in the NPI registry since January 2006. The organization lists Kerry Lyn Myers, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750360699
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameLODI PODIATRY GROUP
Location Address1300 W LODI AVE, STE WLodi, CA 95242-3038
Mailing Address1300 W Lodi Ave, Ste WLodi, CA 95242-3038 · (209) 334-6664 · Fax (209) 334-2379
Fax(209) 334-2379
Organization SubpartNo
Authorized OfficialKerry Lyn MyersOffice Manager · (209) 334-0429
Enumeration DateJanuary 10, 2006
Last NPPES UpdateNovember 12, 2015
✔ NPI 1750360699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in CA · E3467✔ Licensed in CA · E3241
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.
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License E3241 (CA), E3467 (CA)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License E3241 (CA), E3467 (CA)
1300 W LODI AVE, Lodi, CA 95242

Other Names 1

Other NameShock Thomas Gen Ptr

Other Identifiers 7

Medicaid000E34670CA
Medicare ID-Type Unspecified000E32410CA · Shock's M/care #
Medicaid000E32410CA
Medicare UPINT11594CA
Medicare UPINT90634CA
Medicare ID-Type Unspecified000E34670CA · Stroh's M/care #
Medicare NSC0841340001CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shock Thomas Gen Ptr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Shock Thomas Gen Ptr, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1104829431
1300 W LODI AVE STE W
Lodi, CA 95242
(209) 334-6664
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1316327240
1300 W LODI AVE STE W
Lodi, CA 95242
(209) 334-6664
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1407417744
1235 W VINE ST STE 22
Lodi, CA 95240
(209) 334-8520
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lodi Podiatry Group's NPI number?

The NPI number for Lodi Podiatry Group is 1750360699. It was assigned to this organization in the NPPES registry on January 10, 2006. The provider is also known as Shock Thomas Gen Ptr.

Where is Lodi Podiatry Group located?

Lodi Podiatry Group is located at 1300 W Lodi Ave Ste W, Lodi, CA 95242. The listed phone number is (209) 334-6664.

What is Lodi Podiatry Group's specialty?

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

Is Lodi Podiatry Group enrolled in Medicare?

Yes. Lodi Podiatry Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lodi Podiatry Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Lodi Podiatry Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lodi Podiatry Group was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.