Organization Active NPI

Red Oak Podiatry, PC

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1083729156
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0645 Issued in TX
Legal business name
RED OAK PODIATRY, PC
Practice address
17070 Red Oak Dr
Ste 209
Houston, TX 77090-2615
Phone
(281) 537-1999
Fax
(281) 537-1978
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Timothy W. Lykke, D.P.M.NPI 1386638690
Title
Doctor of Podiatric Medicine
Phone
(281) 537-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0645 TX Primary

Addresses

Primary practice location

17070 Red Oak Dr
Ste 209
Houston, TX 77090-2615

Mailing address

17070 Red Oak Dr Ste 209
Houston, TX 77090-2615
Phone (281) 537-1999

Other identifiers 1

IdentifierTypeStateIssuer
1553091-01MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1083729156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902615",
            "telephone_number": "281-537-1999",
            "fax_number": "281-537-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR",
            "address_2": "STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902615",
            "telephone_number": "281-537-1999",
            "fax_number": "281-537-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LYKKE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "281-537-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1553091-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.