STEPHEN G, EICHELSDORFER DPM, PA (NPI# 1962670950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962670950 |
| Entity Type | Organization |
| Organization Name | STEPHEN G, EICHELSDORFER DPM, PA |
| Other Organization Name | TOWN CENTER FOOT & ANKLE |
| Practice Address |
8 N Main St Ste P Kingwood TX 77339-3750 |
| Practice Telephone | 2813617400 |
| Practice Fax Number | 8772428502 |
| Mailing Telephone | 2813617400 |
| Mailing Fax Number | 2813617411 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | STEPHEN G. EICHELSDORFER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2813617400 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | STEPHEN G EICHELSDORFER, DPM, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Town Center Foot & Ankle | Doing Business As Name - Organization |
| Street Address |
8 N MAIN ST STE P |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962579763 | Stephen G Eichelsdorfer, Dpm, Pa | Podiatrist | 8 N Main St Ste P, Kingwood, TX 77339-3750 | 2006-11-29 |
| 1003144593 | Tyreen Vidal Heybeck | Podiatrist | 8 N Main St Ste P, Kingwood, TX 77339-3750 | 2009-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| 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 |
|---|---|---|---|---|
| 1982196416 | Nida Nisar | Podiatrist | 331 Forest Center Dr Apt 22003, Kingwood, TX 77339-5291 | 2018-05-31 |
| 1326589797 | Podiacare, LLC | Podiatrist | 3415 Havenbrook Dr, 1706, Kingwood, TX 77339-2617 | 2017-03-17 |
| 1962579763 | Stephen G Eichelsdorfer, Dpm, Pa | Podiatrist | 8 N Main St Ste P, Kingwood, TX 77339-3750 | 2006-11-29 |
| 1588642532 | Stephen G Eichelsdorfer | Podiatrist | 8 N Main St, Ste P, Kingwood, TX 77339-3748 | 2006-01-09 |
| 1245217967 | Joseph George Burckhardt | Podiatrist | 1414 Green Oak Terrace Ct Ste 100, 100, Kingwood, TX 77339-2960 | 2005-12-22 |
| 1164411021 | Jason Christopher Miller | Podiatrist | 350 Kingwood Medical Dr, Suite 150, Kingwood, TX 77339-6405 | 2005-10-13 |
| 1013919471 | Michael Hanlon Wynn | Podiatrist | 23972a Highway 59 N, Kingwood, TX 77339-1535 | 2005-08-15 |
| 1689194037 | Bijan Sheikhizadeh | Podiatrist | 22999 Highway 59 N, Kingwood, TX 77339-4412 | 2017-06-26 |
| 1710397773 | Jason C Miller Dpm Pa | Podiatrist | 350 Kingwood Medical Dr, Suite 150, Kingwood, TX 77339-6405 | 2014-04-30 |
| 1003144593 | Tyreen Vidal Heybeck | Podiatrist | 8 N Main St Ste P, Kingwood, TX 77339-3750 | 2009-11-23 |
| Find all providers in KINGWOOD | ||||
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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.