Organization Active NPI

Schwarzentraub Foot Clinic, PC

  • Foot & Ankle Surgery Podiatrist
  • Lubbock, TX
National Provider Identifier
1235244351
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SCHWARZENTRAUB FOOT CLINIC, PC
Practice address
4601 66TH St
Lubbock, TX 79414-4828
Phone
(806) 793-3668
Fax
(806) 792-6664
NPI assigned
Aug 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Paul H Schwarzentraub, DPMNPI 1942315049
Title
President
Phone
(806) 793-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

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 TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120404000779 TX Part B Supplier - Clinic/Group Practice 7012177785 Receives reassigned benefits from 2 practitioners
Practice locations: Lubbock, TX
O20210210001833 TX DME Supplier - Physician - Podiatry 7012177785 Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1598054400000",
    "number": "1235244351",
    "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": {
        "organization_name": "SCHWARZENTRAUB FOOT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARZENTRAUB",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-793-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, 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.