Organization Active NPI

Wayne a. Hurst, DPM, PA

Doing business as Foot Specialists of Cedar Park and Georgetown

  • Foot & Ankle Surgery Podiatrist
  • Cedar Park, TX
National Provider Identifier
1285717199
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1180 Issued in TX
Legal business name
WAYNE A. HURST, DPM, PA
Doing business as
Foot Specialists of Cedar Park and Georgetown
Practice address
601 E Whitestone Blvd
Suite 226
Cedar Park, TX 78613-9022
Phone
(512) 259-3338
Fax
(512) 528-1472
NPI assigned
Oct 23, 2006
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Wayne Alan Hurst, DPMNPI 1194758482
Title
Owner/President
Phone
(512) 259-3338

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 Podiatrist 213ES0103X 1180 TX Primary

Addresses

Primary practice location

601 E Whitestone Blvd
Suite 226
Cedar Park, TX 78613-9022

Mailing address

601 E Whitestone Blvd
Suite 226
Cedar Park, TX 78613-9022
Phone (512) 259-3338

Other identifiers 2

IdentifierTypeStateIssuer
0078RDOtherTXBLUE CROSS BLUE SHIELD OF TEXAS
178090001MedicaidTX

Other names 1

  • Foot Specialists of Cedar Park and Georgetown Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051026000268 TX Part B Supplier - Clinic/Group Practice 6103843578 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX; Cedar Park, TX; Georgetown, TX
O20100930019144 TX DME Supplier - Physician - Podiatry 6103843578 Practice locations: Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

1600 W 38th St
Ste 210
Austin, TX 78731
Phone (512) 407-8188

601 E Whitestone Blvd
Ste 226
Cedar Park, TX 78613
Phone (512) 259-3338

1103 Rivery Blvd
Ste 160
Georgetown, TX 78628
Phone (512) 930-0707

1103 Rivery Blvd
Ste 225
Georgetown, TX 78628
Phone (512) 930-0707

1103 Rivery Blvd
Ste 255
Georgetown, TX 78628

Practitioners & affiliated clinicians

Practitioners 5

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1285717199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E WHITESTONE BLVD",
            "address_2": "SUITE 226",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139022",
            "telephone_number": "512-259-3338",
            "fax_number": "512-528-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E WHITESTONE BLVD",
            "address_2": "SUITE 226",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139022",
            "telephone_number": "512-259-3338",
            "fax_number": "512-528-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE A. HURST, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-259-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "0078RD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178090001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Specialists of Cedar Park and Georgetown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.