Organization Active NPI

Shepherd Square Podiatry,P.a.

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1154450856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1140 Issued in TX
Legal business name
SHEPHERD SQUARE PODIATRY,P.A.
Practice address
2621 S Shepherd Dr
#220
Houston, TX 77098-1515
Phone
(713) 942-7700
Fax
(713) 529-6527
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony J Lamarra, DPMNPI 1447388285
Title
President
Phone
(713) 942-7700

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 1140 TX Primary

Addresses

Primary practice location

2621 S Shepherd Dr
#220
Houston, TX 77098-1515

Mailing address

2621 S Shepherd Dr
#220
Houston, TX 77098-1515
Phone (713) 942-7700

Other identifiers 1

IdentifierTypeStateIssuer
00G96COtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000077 TX Part B Supplier - Clinic/Group Practice 0042473316 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154450856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S SHEPHERD DR",
            "address_2": "#220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981515",
            "telephone_number": "713-942-7700",
            "fax_number": "713-529-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S SHEPHERD DR",
            "address_2": "#220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981515",
            "telephone_number": "713-942-7700",
            "fax_number": "713-529-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD SQUARE PODIATRY,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMARRA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-942-7700",
        "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": "1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00G96C",
            "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 Aug 22, 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.