Richard Scott Kobylar J C Tanenbaum DPM PA & Associates

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1691 Issued in TX

Legal business name

RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES

Doing business as

J.C. Tanenbaum, DPM, PA, and Associates

Practice address

600 Hospital Cir Ste 103
Bay City, TX 77414-4772

Phone

(979) 245-9500

Fax

(979) 323-7370

NPI assigned

Jul 27, 2007

Last updated

Jan 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Scott Kobylar, DPMNPI 1194764043

Title

Owner

Phone

(979) 245-9500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• J.C. Tanenbaum, DPM, PA, and Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Kobylar, DPM

  • Podiatrist
  • Bay City, TX
  • NPI 1194764043

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Vorice Batts, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bay City, TX
  • NPI 1669849311
  NPD
• Alicia Lenise Johnson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Richmond, TX
  • NPI 1013236256
  NPD
• Jeffrey C Tanenbaum, DPM

  • Podiatrist
  • Bronx, NY
  • NPI 1346283298

  Foot & Ankle Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1013107853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR STE 103",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144772",
            "telephone_number": "979-245-9000",
            "fax_number": "979-323-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR STE 103",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144772",
            "telephone_number": "979-245-9500",
            "fax_number": "979-323-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013A S Wells St",
            "address_purpose": "LOCATION",
            "city": "Edna",
            "state": "TX",
            "postal_code": "779574045",
            "country_code": "US",
            "telephone_number": "979-245-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Sandy Corner Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "El Campo",
            "state": "TX",
            "postal_code": "774379535",
            "country_code": "US",
            "telephone_number": "979-245-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 N McKinney St",
            "address_purpose": "LOCATION",
            "city": "Sweeny",
            "state": "TX",
            "postal_code": "774802801",
            "country_code": "US",
            "telephone_number": "979-245-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N Alabama Rd",
            "address_purpose": "LOCATION",
            "city": "Wharton",
            "state": "TX",
            "postal_code": "774885203",
            "country_code": "US",
            "telephone_number": "979-245-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "KOBYLAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-245-9500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1691",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181694401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.C. Tanenbaum, DPM, PA, and Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J.C. Tanenbaum, DPM, PA, and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Ratliff, D.C.
• Reliable Hospice LLC (Angels Care Hospice)
• Renew Bay City, PLLC
• Edwardo A Reyes
• Rhonda Brown DNP Family Nurse Practitioners PLLC
• Christopher Riddle, NP
• River Oaks Imaging and Diagnostic LP
• Breyton Gage Roberson
• Diane Marie Robinson
• Jeremy R Rooth

• Foot & Ankle Surgery Podiatrist in Bay City, TX
• Providers in Bay City, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.