SHOCK THOMAS GEN PTR
NPI 1750360699
Podiatrist in Lodi, CA

Q: 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.

Q: What is Lodi Podiatry Group's specialty?

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

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: August 09, 2026.

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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

Phone(209) 334-6664

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

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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

Other Providers at the Same Location NPPES 20

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

VALLEY COMMUNITY COUNSELING SERVICES, INC

Community/Behavioral Health

1300 W LODI AVE, STE G-2
LODI, CA 95242

San Joaquin County (209) 956-4240

SUTTER GOULD MEDICAL FOUNDATION

Family Medicine

1300 W LODI AVE, STE P
LODI, CA 95242

San Joaquin County (209) 366-1990

ARVINDER KAUR THIARA M.D.

Pediatrics

1300 W LODI AVE, SUITE P
LODI, CA 95242

San Joaquin County (209) 366-1990

KEVIN IRVING STROH DPM

Podiatrist

1300 W LODI AVE, STE W
LODI, CA 95242

San Joaquin County (209) 334-6664

DR. JEFF HUSTON DDS, MS

Dentist (Pediatric Dentistry)

1300 W LODI AVE, SUITE M
LODI, CA 95242

San Joaquin County (209) 333-0374

RICHARD WYMAN YEE D.O.

Family Medicine

1300 W LODI AVE, SUTIE P
LODI, CA 95242

San Joaquin County (209) 366-1990

DR. MARSHALL E. GOMES D.D.S.

Dentist (Endodontics)

1300 W LODI AVE, SUITE N
LODI, CA 95242

San Joaquin County (209) 368-1909

KIMBERLY LYNN HAUNER NP

Nurse Practitioner (Pediatrics)

1300 W LODI AVE, SUITE P
LODI, CA 95242

San Joaquin County (209) 369-7493

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.

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.