NORTH CENTRAL TEXAS PODIATRY, PA (NPI# 1083922710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083922710 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL TEXAS PODIATRY, PA |
| Practice Address |
1713 S Fm 51 103 Decatur TX 76234-3642 |
| Practice Telephone | 9406276976 |
| Practice Fax Number | 9406273491 |
| Mailing Telephone | 9406276976 |
| Mailing Fax Number | 9406273491 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | DR. BRIAN BRADFORD CARPENTER (OWNER) |
| Authorized Official Telephone | 9406276976 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1305 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0071TY | 01 |
| TX | 285988601 | 05 |
| Street Address |
1713 S FM 51 103 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568754 | Teresa N. Hill, M.d., P.a. | Obstetrics & Gynecology | 1713 S Fm 51, Suite 201, Decatur, TX 76234-3642 | 2005-06-15 |
| 1811318330 | North Central Texas Foot & Ankle, LLC | Podiatrist | 1713 S Fm 51, Suite 103, Decatur, TX 76234-3642 | 2013-12-31 |
| 1609154921 | Mckenna Orthopaedic and Sports Medicine Pa | Orthopaedic Surgery | 1713 S Fm 51, #103, Decatur, TX 76234-3642 | 2011-08-03 |
| 1710271325 | Troy Chandler P.a., P.C. | Physician Assistant | 1713 S Fm 51, #103, Decatur, TX 76234-3642 | 2011-06-01 |
| 1417264946 | Cbh Physical Medicine & Rehabilitation, P.a. | Physical Medicine & Rehabilitation | 1713 S Fm 51, 103, Decatur, TX 76234-3642 | 2010-09-03 |
| 1669530267 | Kevin Bernard James | Orthopaedic Surgery | 1713 S Fm 51, Suite #103, Decatur, TX 76234-3642 | 2006-12-05 |
| 1053402412 | Ryan K. Walter, Md, Pa | Obstetrics & Gynecology | 1713 S Fm 51, 201, Decatur, TX 76234 | 2006-09-28 |
| 1396855458 | Ricky L. Childers | Podiatrist | 1713 S Fm 51, Decatur, TX 76234-3642 | 2006-08-30 |
| 1568417087 | Dallas Vamc | Clinic/Center | 1713 S Fm 51, Decatur, TX 76234-3642 | 2006-05-23 |
| 1073579645 | Decatur Womens Health Center Pa | Obstetrics & Gynecology | 1713 S Fm 51, Ste 201, Decatur, TX 76234 | 2006-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1083876304 | Greenbriar Foot & Ankle Center LLC | Podiatrist | 4480 Covington Highway, Suite A, Decatur, GA 30034 | 2008-06-27 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1811916497 | Howard M Bryant | Podiatrist | 2575 Snapfinger Rd Ste D, Decatur, GA 30034-2300 | 2006-07-18 |
| 1003846718 | Suzette Andrean Clements | Podiatrist | 4535 Flat Shoals Pkwy, Suite # 301, Decatur, GA 30034-5039 | 2006-07-05 |
| 1538103403 | Jonathan Mark Smith | Podiatrist | 145 S 2nd St, Decatur, IN 46733-1664 | 2006-06-15 |
| 1427014034 | Craig Allen Murad | Podiatrist | 1481 Oakridge Cir, Decatur, GA 30033-2137 | 2006-04-22 |
| 1598230690 | Nickil Nayee | Podiatrist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-10-04 |
| 1417458357 | Karen Moon | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2018-02-26 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.