GULF COAST FOOT CLINIC PA (NPI# 1881741221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881741221 |
| Entity Type | Organization |
| Organization Name | GULF COAST FOOT CLINIC PA |
| Practice Address |
815 N Virginia St Port Lavaca TX 77979-3025 |
| Mailing Address |
Po Box 125 Port Lavaca TX 77979-0125 |
| Practice Telephone | 3615520295 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-09-05 |
| Authorized Official Name | RICHARD STEINBERG (PRESIDENT) |
| Authorized Official Telephone | 3615763060 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1296 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RRB | 480019673 | 01 |
| TX | SUPERIOR | 018809601 | 01 |
| TX | 018809601 | 05 | |
| TX | BLUE CROSS | 8AJ751 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710181011 | Gulf Coast Foot Clinic Pa | Podiatrist | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2007-06-12 |
| Street Address |
815 N VIRGINIA ST |
| City | PORT LAVACA |
| State | TX |
| Zip Code | 77979-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870161 | William J Crowley IIi | Family Medicine | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2005-06-11 |
| 1134776545 | Kristi Boyd | Nurse Practitioner | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2019-08-20 |
| 1053964742 | Memorial Medical Center | Orthopaedic Surgery | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2019-07-22 |
| 1750811733 | Penny Goulden | Physical Therapist | 815 N Virginia St, Port Lavaca, TX 77979 | 2017-06-13 |
| 1922546936 | Ess of Port Lavaca LLC | Emergency Medicine | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2017-02-09 |
| 1669857157 | Traci Shefcik | Nurse Practitioner | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2015-07-24 |
| 1073997524 | Courtne Thurlkill | Nurse Practitioner | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2015-07-15 |
| 1104203181 | Memorial Medical Center | Surgery | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2015-04-29 |
| 1578960647 | Memorial Medical Clinic | General Acute Care Hospital | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2014-12-04 |
| 1366866477 | Victoria Professional Medical Consultants, LLC | Emergency Medicine | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1679943393 | Vrinda Mohunta | Dentist | 204 Tx-35, Port Lavaca, TX 77979 | 2015-10-07 |
| 1770999344 | Smile Experts Pllc | Dentist | 204 State Hwy 35 South, Port Lavaca, TX 77979 | 2014-07-03 |
| 1083927636 | Calhoun Home Health, LLC | Home Health | 1300 N Virginia St Ste 111, Port Lavaca, TX 77979 | 2010-07-23 |
| 1740423490 | Diana E. Garcia | Case Manager/Care Coordinator | 3272 U.S. Hwy 87, Port Lavaca, TX 77979 | 2009-04-10 |
| 1982844940 | Gillian V. Kwi | Dentist | 1112 Half League Rd, Port Lavaca, TX 77979 | 2009-03-03 |
| 1003054057 | Ngale Ndiva Mongoh | Pharmacist | 325 S. Hwy. 35 By Pass, Port Lavaca, TX 77979 | 2009-01-29 |
| 1326248592 | Nichole Lynn Bruno | Nurse Practitioner | 1300 N. Virginia Street, Port Lavaca, TX 77979 | 2007-07-24 |
| 1518168855 | Calhoun County Senior Citizens Assoc. Inc. | Home Delivered Meals | 2104 W Austin St., Port Lavaca, TX 77979 | 2007-05-31 |
| Find all providers in zip 77979 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851448286 | Richard Steinberg | Podiatrist | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818941 | Interventional Partners LLC | Podiatrist | 3415 N Loy Lake Rd, Sherman, TX 75090-1744 | 2019-08-28 |
| 1467958538 | San Antonio Foot and Ankle Center, LLC | Podiatrist | 11212 State Highway 151 Ste 370, San Antonio, TX 78251-4504 | 2018-04-05 |
| 1972959161 | Darlene Dao Carter | Podiatrist | 5925 Forest Ln Ste 121, Dallas, TX 75230-6101 | 2016-05-06 |
| 1538552948 | Chetapon Nopachinda | Podiatrist | 1120 Medical Plaza Dr Ste 120, Shenandoah, TX 77380-5250 | 2015-03-09 |
| 1245647247 | Ravinder Reddy | Podiatrist | 3136 Horizon Rd Ste 120, Rockwall, TX 75032-7808 | 2014-07-22 |
| 1316258429 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2625 Matlock Rd, Suite 103, Arlington, TX 76015-2519 | 2010-06-24 |
| 1659682763 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5459 La Sierra Dr, Suite 101, Dallas, TX 75231-2347 | 2010-06-24 |
| 1811208994 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2010-06-23 |
| 1023330651 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 4333 N Josey Ln Ste 102, Carrollton, TX 75010-4620 | 2010-02-24 |
| 1588986145 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 7100 Oakmont Blvd Ste 208, Fort Worth, TX 76132-3911 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT LAVACA |
| Zip Code | 77979 |
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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.