Weatherford Podiatry Clinics, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1477 Issued in TX

Legal business name

WEATHERFORD PODIATRY CLINICS, P.A.

Practice address

925 Santa Fe Dr
Suite 110
Weatherford, TX 76086-5866

Phone

(817) 341-3901

Fax

(817) 599-7018

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Waymon Edward Lewis, DPMNPI 1558397612

Title

Physician

Phone

(817) 341-3901

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Waymon Edward Lewis Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Weatherford, TX
  • NPI 1558397612

  Foot & Ankle Surgery, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1124205158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1926",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760867926",
            "telephone_number": "817-341-3901",
            "fax_number": "817-599-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SANTA FE DR",
            "address_2": "SUITE 110",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865866",
            "telephone_number": "817-341-3901",
            "fax_number": "817-599-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERFORD PODIATRY CLINICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WAYMON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-341-3901",
        "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": "1477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1124205158",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018603301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weatherford Isd
• Weatherford OB/GYN Associates, P.a.
• Weatherford Pediatrics and Family Medicine, PLLC
• Weatherford Pediatrics, P.a.
• Weatherford Physical Therapy Inc
• Weatherford Radiology PLLC
• Weatherford Rehabilitation Hospital, LLC
• Weatherford Taxi & Limo LLC.
• Weatherford Texas Hospital Company LLC
• Weatherford Texas Hospital Company LLC

• All providers in Weatherford, TX
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.