NORTH CENTRAL TEXAS FOOT & ANKLE, LLC (NPI# 1811318330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811318330 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL TEXAS FOOT & ANKLE, LLC |
| Practice Address |
1713 S Fm 51 Suite 103 Decatur TX 76234-3642 |
| Practice Telephone | 9406276976 |
| Practice Fax Number | 9406273491 |
| Mailing Telephone | 9406276976 |
| Mailing Fax Number | 9406273491 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | RICKY CHILDERS (OFFICER) |
| Authorized Official Telephone | 4157305058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1932 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 334277601 | 05 | |
| TX | BCBSTX | 0039ZP | 01 |
| Street Address |
1713 S FM 51 SUITE 103 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568754 | Teresa N. Hill, M.d., P.a. | Obstetrics & Gynecology | 1713 S Fm 51, Suite 201, Decatur, TX 76234-3642 | 2005-06-15 |
| 1609154921 | Mckenna Orthopaedic and Sports Medicine Pa | Orthopaedic Surgery | 1713 S Fm 51, #103, Decatur, TX 76234-3642 | 2011-08-03 |
| 1710271325 | Troy Chandler P.a., P.C. | Physician Assistant | 1713 S Fm 51, #103, Decatur, TX 76234-3642 | 2011-06-01 |
| 1083922710 | North Central Texas Podiatry, Pa | Podiatrist | 1713 S Fm 51, 103, Decatur, TX 76234-3642 | 2010-09-15 |
| 1417264946 | Cbh Physical Medicine & Rehabilitation, P.a. | Physical Medicine & Rehabilitation | 1713 S Fm 51, 103, Decatur, TX 76234-3642 | 2010-09-03 |
| 1669530267 | Kevin Bernard James | Orthopaedic Surgery | 1713 S Fm 51, Suite #103, Decatur, TX 76234-3642 | 2006-12-05 |
| 1053402412 | Ryan K. Walter, Md, Pa | Obstetrics & Gynecology | 1713 S Fm 51, 201, Decatur, TX 76234 | 2006-09-28 |
| 1396855458 | Ricky L. Childers | Podiatrist | 1713 S Fm 51, Decatur, TX 76234-3642 | 2006-08-30 |
| 1568417087 | Dallas Vamc | Clinic/Center | 1713 S Fm 51, Decatur, TX 76234-3642 | 2006-05-23 |
| 1073579645 | Decatur Womens Health Center Pa | Obstetrics & Gynecology | 1713 S Fm 51, Ste 201, Decatur, TX 76234 | 2006-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073574083 | Jimmy Lee Gregory | Podiatrist | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2006-03-29 |
| 1902886799 | Jerald Noel Kramer | Podiatrist | 215 Clairemont Ave, Decatur, GA 30030-2505 | 2006-01-18 |
| 1972585990 | Terrence M Graham | Podiatrist | 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 | 2005-11-16 |
| 1699382879 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 1713 S Fm 51 Ste 103, Decatur, TX 76234-3644 | 2020-09-30 |
| 1275142473 | Jeanne Marie Louise Mirbey | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-24 |
| 1154941714 | John C Haight | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-23 |
| 1871113787 | Chandler Ligas | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-21 |
| 1144853649 | Charles Penvose | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-02-13 |
| 1295375269 | Lauren E Kuenzi | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-01-08 |
| 1689214546 | Hemesath Podiatry Pllc | Podiatrist | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2020-01-08 |
| Find all providers in DECATUR | ||||
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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.