Organization Active NPI

Dr. Ginger Sellars Kaasjager DPM PLLC

  • Podiatric Clinic/Center
  • Montgomery, TX
National Provider Identifier
1194435941
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
DR. GINGER SELLARS KAASJAGER DPM PLLC
Practice address
750 Fish Creek Thoroughfare Ste 190
Montgomery, TX 77316-6966
Phone
(936) 537-5714
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Ginger A Sellars, DPMNPI 1942593777
Title
Owner
Phone
(936) 537-5714

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

750 Fish Creek Thoroughfare Ste 190
Montgomery, TX 77316-6966

Mailing address

242 Overland Trce
Montgomery, TX 77316-6401
Phone (936) 537-5714

Other names 1

  • Woodforest Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230417001386 TX Part B Supplier - Clinic/Group Practice 7012382450 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, TX
O20230809003142 TX DME Supplier - Physician - Podiatry 7012382450 Practice locations: Montgomery, TX

National Provider Directory

National Provider Directory
Tax ID family
Woodforest Foot Ankle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 Fish Creek Thoroughfare
Ste 190
Montgomery, TX 77316
Phone (281) 640-2810

750 Fish Creek Thoroughfare
Ste 100
Montgomery, TX 77316
Phone (936) 272-0790

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": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1194435941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 OVERLAND TRCE",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166401",
            "telephone_number": "936-537-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FISH CREEK THOROUGHFARE STE 190",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166966",
            "telephone_number": "936-537-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GINGER SELLARS KAASJAGER DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "SELLARS",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-537-5714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodforest Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodforest Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.