ADVANCED FOOT SPECIALISTS, PLLC (NPI# 1104233675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104233675 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT SPECIALISTS, PLLC |
| Practice Address |
201 E Interstate 30 Suite B Rockwall TX 75087-5402 |
| Mailing Address |
4515 Dorset Rd Dallas TX 75229-6301 |
| Practice Telephone | 2147713668 |
| Practice Fax Number | 9727740066 |
| Mailing Telephone | 2143948645 |
| Mailing Fax Number | 9727741777 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | BENJAMIN A BASSICHIS (OWNER) |
| Authorized Official Telephone | 2143948645 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2086 | TX | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485893 | Advanced Foot Specialists, Pllc | Podiatrist | 6029 Belt Line Rd, Dallas, TX 75254-9109 | 2019-03-12 |
| Street Address |
201 E INTERSTATE 30 SUITE B |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447555040 | Kamran Reza Hussain | Podiatrist | 201 E Interstate 30, Rockwall, TX 75087-5402 | 2011-01-13 |
| 1598150781 | Nisha Nayan Shah | Podiatrist | 201 E Interstate 30, Rockwall, TX 75087 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447555040 | Kamran Reza Hussain | Podiatrist | 201 E Interstate 30, Rockwall, TX 75087-5402 | 2011-01-13 |
| 1720536006 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 1301 Summer Lee Dr, Rockwall, TX 75032-5452 | 2016-09-15 |
| 1598150781 | Nisha Nayan Shah | Podiatrist | 201 E Interstate 30, Rockwall, TX 75087 | 2015-04-03 |
| 1740615301 | Pro Active Podiatry Pa | Podiatrist | 2504 Ridge Rd, Suite 101b, Rockwall, TX 75087-2569 | 2013-09-13 |
| 1104164896 | Matthew Thomas Britt | Podiatrist | 1301 Summer Lee Dr, Rockwall, TX 75032-5452 | 2013-01-30 |
| 1396050449 | Family Foot Clinic PC | Podiatrist | 3142 Horizon Rd, Ste 100, Rockwall, TX 75032-7809 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748656 | Lonestar Foot and Ankle Surgical Associates, Pllc | Podiatrist | 515 E Court St Ste 300, Seguin, TX 78155-5726 | 2020-10-19 |
| 1528665437 | New Horizon Foot and Ankle Specialists | Podiatrist | 2448 Highway 121, Unit 808, Bedford, TX 76021-7317 | 2020-10-04 |
| 1467067603 | Katy Foot & Ankle Pllc | Podiatrist | 21660 Kingsland Blvd # 500, Katy, TX 77450-2511 | 2020-09-14 |
| 1154932812 | Delara Foot and Ankle Pllc | Podiatrist | 1604 Hospital Pkwy Ste 309, Bedford, TX 76022-6931 | 2020-08-14 |
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1013536952 | Select Foot and Ankle Specialists, P.l.l.c. | Podiatrist | 25222 Northwest Fwy Apt 185, Cypress, TX 77429-1038 | 2020-04-10 |
| 1871129445 | Interventional Partners LLC | Podiatrist | 17189 I 45 S Ste 285, Shenandoah, TX 77385-3320 | 2020-03-16 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
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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.