GARY CHARLES PAYNE (NPI# 1780691949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780691949 |
| Entity Type | Individual |
| Full Name | GARY CHARLES PAYNE |
| Credential | DPM |
| Practice Address |
12833b Research Blvd. Austin TX 78750 |
| Mailing Address |
12833b Research Blvd Austin TX 78750-3200 |
| Practice Telephone | 5122492253 |
| Practice Fax Number | 5122582109 |
| Mailing Telephone | 5122492253 |
| Mailing Fax Number | 5122582109 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0536 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO GBA | 4464150001 | 01 | |
| AIG | DPM536 | 01 | |
| BCBS | 00T800 | 01 | |
| AMERIGROUP | 11011766 | 01 | |
| AETNA | 741891053 | 01 | |
| TX | 018830201 | 05 | |
| COMMERCIAL CARRIERS | T15205 | 01 | |
| UNITED HEALTH CARE RAIL R | 480900054 | 01 | |
| CMI WALMART | DPM536 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760620421 | Gary Lee Payne | Chiropractor | 4301 Main St, Suite 6, Kansas City, MO 64111-7701 | 2009-02-03 |
| Street Address |
12833B RESEARCH BLVD. |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| 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 |
|---|---|---|---|---|
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1649652256 | Milam Raemsch | Podiatrist | 9012 Research Blvd Ste C13, Austin, TX 78758 | 2015-06-19 |
| 1073866232 | Angela L Drury PC | Podiatrist | 2312 Western Trails, Suite 103, Austin, TX 78745-1642 | 2012-10-24 |
| 1821369117 | Heidi Antonette Holets | Podiatrist | 7800 Shoal Creek, Suite 130w-a, Austin, TX 78757-1043 | 2012-01-19 |
| 1962698241 | Babak Kaviani | Podiatrist | 3921 Steck Ave Ste A114, Austin, TX 78759-8669 | 2007-09-19 |
| 1649323270 | Jessica Marie St.louis | Podiatrist | 5200 Davis Ln Ste B120, Austin, TX 78749-4068 | 2007-01-18 |
| 1750464251 | Austin Foot Center Professional Coporation | Podiatrist | 5656 W Bee Caves Rd, #d204, Austin, TX 78746-5236 | 2006-10-20 |
| 1427130806 | Carlton E Newman | Podiatrist | 1306 W Anderson Lane, Austin, TX 78757-1451 | 2006-10-19 |
| 1942380050 | Jennifer A Ostrowski | Podiatrist | 8230 Spicewood Springs Rd, #7, Austin, TX 78759-6864 | 2006-10-16 |
| 1831298470 | Save The Feet Mobile Podiatry Pllc | Podiatrist | 7901 Cameron Rd Ste 3-343, Austin, TX 78754-3849 | 2006-09-21 |
| Find all providers in AUSTIN | ||||
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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.