PODIATRY ASSOCIATES OF VICTORIA PA (NPI# 1174505358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174505358 |
| Entity Type | Organization |
| Organization Name | PODIATRY ASSOCIATES OF VICTORIA PA |
| Practice Address |
116 Imperial Dr Victoria TX 77901-3948 |
| Practice Telephone | 3615782777 |
| Practice Fax Number | 3615782778 |
| Mailing Telephone | 3615782777 |
| Mailing Fax Number | 3615782778 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DR. MAUREEN LEIGH CALDWELL (DOCTOR) |
| Authorized Official Telephone | 3615782777 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE GROUP | DB9630 | 01 |
| TX | BCBS GROUP NUMBER | 00920K | 01 |
| Street Address |
116 IMPERIAL DR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464634 | Maureen Leigh Caldwell | Podiatrist | 116 Imperial Dr, Ste A, Victoria, TX 77901-3948 | 2005-06-02 |
| 1992709869 | Andrew John Young | Podiatrist | 116 Imperial Dr, Ste A, Victoria, TX 77901-3948 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508387549 | Barton Chase Garcia | Podiatrist | 116 Imperial Dr Ste A, Victoria, TX 77901-3948 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699513 | K. Danneeru Dpm Pllc | Podiatrist | 8104 Pacific St, Frisco, TX 75035-7300 | 2020-11-08 |
| 1689179327 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | 2018-03-26 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1639695406 | Advantage Foot Care of Houston, Pllc | Podiatrist | 8313 Southwest Fwy Ste 105, Houston, TX 77074-1612 | 2017-08-14 |
| 1609225986 | Kelly Tatum Brace | Podiatrist | Scott and White, 2401 S 31st. St., Temple, TX 76508-0001 | 2016-06-08 |
| 1164890562 | Free Foot Doctor.com | Podiatrist | 24914 Tomball Pkwy Ste 180, Tomball, TX 77375-5080 | 2015-09-02 |
| 1992069777 | Brady Mallory | Podiatrist | 1940 East Hwy 114 Suite 150, Southlake, TX 76092 | 2012-06-27 |
| 1699034728 | Joel Bruce Dacus | Podiatrist | 4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 | 2012-05-09 |
| 1619241437 | Foot Center Mcallen-weslaco Pllc | Podiatrist | 4103 N Jackson Road, Ste. 200, Mcallen, TX 78504 | 2012-02-24 |
| 1295041002 | Stephanie Michelle Jupiter | Podiatrist | 531 Crestwater Ct, Houston, TX 77082-1517 | 2010-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PODIATRY ASSOCIATES OF VICTORIA PA.
| 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.