RENEE KUKLA PIETZSCH


Address: 3316 Williams Dr Ste 120, Georgetown, TX 78628-2891
Phone: 5128194555

RENEE KUKLA PIETZSCH (NPI# 1649209503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649209503
Entity Type Individual
Full Name RENEE KUKLA PIETZSCH
Credential DPM
Practice Address 3316 Williams Dr Ste 120
Georgetown
TX 78628-2891
Practice Telephone 5128194555
Practice Fax Number 5128194559
Mailing Telephone 5128194555
Mailing Fax Number 5128194559
Enumeration Date 2006-07-02
Last Update Date 2011-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 1667 TX Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS BLUE SHIELD OF TEXAS 8BD531 01
TX 178091801 05
TX RAILROAD MEDICARE P00479025 01

Office Location

Street Address 3316 WILLIAMS DR STE 120
City GEORGETOWN
State TX
Zip Code 78628-2891

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689818684 Central Texas Foot Specialist Pa Podiatrist 3316 Williams Dr Ste 120, Georgetown, TX 78628-2891 2009-04-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164079760 Maegan Marissa Milliet Student in an Organized Health Care Education/Training Program 302 Rideg Run Dr, Georgetown, TX 78628 2019-08-20
1366918419 Harold F. Adelman, M.d, Pllc Clinic/Center 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 2018-10-16
1679085401 Georgetown Emergency Physicians Pllc Clinic/Center 1210 W University Blvd, Georgetown, TX 78628 2017-11-02
1134631450 Meredith Rollins Hatcher Physician Assistant 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 2017-10-26
1588188304 Wolf Ranch Dental Group, PC Dentist 1135 West University Avenue, Georgetown, TX 78628 2017-08-02
1982066528 Imren Ozturk Family Medicine Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 2016-03-23
1093114100 Della Davis Hearing Instrument Specialist 1013 W. University Ave, Suite 122, Georgetown, TX 78628 2014-08-14
1083988125 Deann Reinshuttle Audiologist-Hearing Aid Fitter 3316 Williams Dr Ste 115, Georgetown, TX 78628 2012-03-07
1700195823 Zeyad B Mughrabi Dentist 1615 Williams Dr, Georgetown, TX 78628 2010-10-07
1497071534 Jeri Lynne Manhal Counselor 1618 Williams Dr., Suite 4, Georgetown, TX 78628 2010-04-14
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760493944 Dennis L Robinson Podiatrist 1911 N Austin Ave, Ste 401, Georgetown, TX 78626-4543 2006-08-11
1386647089 Joyce Thompson Podiatrist 640 E State St, Georgetown, OH 45121-1422 2005-05-27
1689818684 Central Texas Foot Specialist Pa Podiatrist 3316 Williams Dr Ste 120, Georgetown, TX 78628-2891 2009-04-22
1487834313 Joyce M. Thompson Dpm Podiatrist 640 E State St, Georgetown, OH 45121-1479 2007-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891396834 Shine Foot and Ankle Center Podiatrist 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 2020-11-05
1740895911 Royal Haven Medical Podiatrist 713 Lakeview Dr, Alvarado, TX 76009-2668 2020-09-14
1851924500 Interventional Partners LLC Podiatrist 4708 Alliance Blvd Ste 475, Plano, TX 75093-5351 2020-02-20
1225688583 Access Podiatry Center, LLC Podiatrist 2703 Stone Hedge, Eagle Pass, TX 78852 2019-09-18
1366091704 Carrollton Podiatrist Pllc Podiatrist 3730 N Josey Ln Ste 120, Carrollton, TX 75007-2439 2019-09-09
1760030571 Right Step Foot Clinic and Ankle Clinic, LLC Podiatrist 11507 S Highway 6 Ste C, Sugar Land, TX 77498-4933 2019-08-27
1225684392 Podiatry Usa Corporation Podiatrist 2300 Sherbrooke Ln, Mckinney, TX 75070-4769 2019-08-14
1508422395 Interventional Partners Podiatrist 3200 Olton Rd Ste C, Plainview, TX 79072-6653 2019-05-16
1194380097 Interventional Partners LLC Podiatrist 5575 Warren Pkwy Ste 101, Frisco, TX 75034-4066 2019-05-06
1548825839 Interventional Partners LLC Podiatrist 2150 N Josey Ln # 200b, Carrollton, TX 75006-2991 2019-05-02
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Competitor

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City GEORGETOWN
Zip Code 78628

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Dataset Information

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.

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