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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1667 | TX | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS BLUE SHIELD OF TEXAS | 8BD531 | 01 |
TX | 178091801 | 05 | |
TX | RAILROAD MEDICARE | P00479025 | 01 |
Street Address |
3316 WILLIAMS DR STE 120 |
City | GEORGETOWN |
State | TX |
Zip Code | 78628-2891 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689818684 | Central Texas Foot Specialist Pa | Podiatrist | 3316 Williams Dr Ste 120, Georgetown, TX 78628-2891 | 2009-04-22 |
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 |
Find all providers in zip 78628 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
City | GEORGETOWN |
Zip Code | 78628 |
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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.