FALL CREEK FOOT & ANKLE PLLC (NPI# 1194178608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194178608 |
| Entity Type | Organization |
| Organization Name | FALL CREEK FOOT & ANKLE PLLC |
| Practice Address |
9701 N Sam Houston Pkwy E Suite 150 Humble TX 77396-4693 |
| Practice Telephone | 2819735237 |
| Practice Fax Number | 8324122016 |
| Mailing Telephone | 2819735237 |
| Mailing Fax Number | 8324122016 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | DR. TRAVIS SCOTT BODEKER (OWNER) |
| Authorized Official Telephone | 2819735237 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2147 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
9701 N SAM HOUSTON PKWY E SUITE 150 |
| City | HUMBLE |
| State | TX |
| Zip Code | 77396-4693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696391 | Mason Gilfoil | Pediatrics | 9701 N Sam Houston Pkwy E, 170, Humble, TX 77396-4636 | 2005-08-15 |
| 1467059501 | Humble 9701, Pllc | Dentist | 9701 N Sam Houston Pkwy E, Humble, TX 77396-4636 | 2020-10-01 |
| 1790152650 | Galactic Smiles Pllc | Dentist | 9701 N Sam Houston Pkwy E, Humble, TX 77396-4636 | 2015-08-26 |
| 1609205194 | Doyfran Pharmacy | Pharmacy | 9701 N Sam Houston Pkwy E, Suite 110, Humble, TX 77396-4636 | 2013-11-05 |
| 1538508098 | Her Healthcare, LLP | Obstetrics & Gynecology | 9701 N Sam Houston Pkwy E, Suite 120, Humble, TX 77396-4636 | 2013-06-18 |
| 1457608051 | Travis Bodeker | Podiatrist | 9701 N Sam Houston Pkwy E, Ste 150, Humble, TX 77396-4693 | 2012-08-14 |
| 1740550326 | Tch Pediatric Associates, Inc | Pediatrics | 9701 N Sam Houston Pkwy E, Suite 170, Humble, TX 77396-4636 | 2012-01-12 |
| 1588946305 | Carolina Baquero Sanchez | Dentist | 9701 N Sam Houston Pkwy E, Suite 160, Humble, TX 77396 | 2011-09-19 |
| 1346539897 | Paragon Eye Care, Inc | Optometrist | 9701 N Sam Houston Pkwy E, Suite 100, Humble, TX 77396-4482 | 2011-04-06 |
| 1184853509 | Alexander David Chen | Optometrist | 9701 N Sam Houston Pkwy E, Suite 100, Humble, TX 77396-4482 | 2009-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361570 | Lawanza L Nelms | Registered Nurse | 9519 Cimarroncito Ln, Humble, TX 77396 | 2020-09-23 |
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1952806002 | Adonna Weaver | Counselor | 9659 N. Sam Houston Parkway East, Suite 150 #324, Humble, TX 77396 | 2018-03-29 |
| 1710439484 | Simpke LLC | Chiropractor | 9303 Water Edge Point Lane, Humble, TX 77396 | 2016-10-28 |
| 1619338027 | Christopher Daniel Roundy | Chiropractor | 11347 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-03-11 |
| 1992198923 | F. C. Behavioral Health, Pllc | Clinic/Center | 17810 Spring Tree Drive, Humble, TX 77396 | 2015-03-16 |
| 1417378688 | Menard's Tranportation | Private Vehicle | 15815 Murrelet Ct, Humble, TX 77396 | 2013-12-13 |
| 1124383195 | Tammie M. Thibodeaux | Dentist | 11501 North Sam Houston Parkway East, Suite C, Humble, TX 77396 | 2012-07-05 |
| 1528373271 | Summer Creek Physicians, Pllc | Family Medicine | 11501 North Sam Houston East Pkwy, Suite B, Humble, TX 77396 | 2010-08-18 |
| 1033347752 | Susmitha Jasti | Dentist | 4801 Wilson Road, Ste 200, Humble, TX 77396 | 2009-07-01 |
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| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487029617 | Ava K Washko Dpm Pllc | Podiatrist | 9816 Memorial Blvd Ste 202, Humble, TX 77338 | 2015-12-14 |
| 1457608051 | Travis Bodeker | Podiatrist | 9701 N Sam Houston Pkwy E, Ste 150, Humble, TX 77396-4693 | 2012-08-14 |
| 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 |
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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.