Individual provider Active NPI

Sean Paul Schwarzentraub, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lubbock, TX
National Provider Identifier
1184739310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1448 Issued in TX
Practice address
4601 66TH St
Lubbock, TX 79414-4828
Phone
(806) 793-3668
Fax
(806) 792-6664
NPI assigned
Aug 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1448 TX Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 601 AZ

Addresses

Primary practice location

4601 66TH St
Lubbock, TX 79414-4828

Mailing address

4601 66TH St
Lubbock, TX 79414-4828
Phone (806) 793-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000869 TX Practitioner - Podiatry 7719147487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schwarzentraub Foot Clinic, PCGroup PAC ID 7012177785, 2 clinicians

Practice addresses (Care Compare)

4601 66TH St
Suite a
Lubbock, TX 79414-4875
Phone (806) 793-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions1-10
Removal of nail tissue215
Removal or shaving of skin growth82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
601AZMDFoot & Ankle Surgery Podiatrist
1448TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Schwarzentraub Foot Clinic, PC Foot & Ankle Surgery CurrentSince Jun 16, 1999 Accepting new patients

Locations

4601 66th St
Lubbock, TX 79414
Phone (806) 793-3668

4601 66th St
Ste A
Lubbock, TX 79414
Phone (806) 793-3668

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13999/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sean.schwarzentraub.1@13999.direct.athenahealth.com
  • Direct secure messaging: sschwarz@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184739310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144828",
            "telephone_number": "806-793-3668",
            "fax_number": "806-792-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144828",
            "telephone_number": "806-793-3668",
            "fax_number": "806-792-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZENTRAUB",
        "first_name": "SEAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1448",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.