Compassionate Foot Care Clinic, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1848 Issued in TX

Legal business name

COMPASSIONATE FOOT CARE CLINIC, PA

Practice address

2776 Bay Shore LN
Grand Prairie, TX 75054-7255

Phone

(817) 948-3576

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jamelia Abrams, DPM

Title

Podiatrist

Phone

(817) 948-3576

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1033367669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 BAY SHORE LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 BAY SHORE LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547255",
            "telephone_number": "817-948-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE FOOT CARE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "JAMELIA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "817-948-3576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TX",
            "identifier": "0083SG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8536466",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193700504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Grand Prairie, TX
• Providers in Grand Prairie, 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 Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.