Organization Active NPI

Foot Associates of Central Texas, LLC

  • Foot & Ankle Surgery Podiatrist
  • Round Rock, TX
National Provider Identifier
1316091689
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT ASSOCIATES OF CENTRAL TEXAS, LLC
Practice address
7700 Cat Hollow Drive
Suite 102
Round Rock, TX 78681-4086
Phone
(512) 733-8600
Fax
(512) 733-8602
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Scott Pattison, D.P.M.NPI 1023047909
Title
Member
Phone
(512) 733-8600

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 Primary

Addresses

Primary practice location

7700 Cat Hollow Drive
Suite 102
Round Rock, TX 78681-4086

Mailing address

7700 Cat Hollow Drive
Suite 102
Round Rock, TX 78681-4086
Phone (512) 733-8600

Other identifiers 2

IdentifierTypeStateIssuer
0051EROtherTXBCBS GROUP NUMBER
081462601MedicaidTX

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080423000650 TX Part B Supplier - Clinic/Group Practice 9931287489 Receives reassigned benefits from 2 practitioners
Practice locations: Georgetown, TX; Round Rock, TX
O20100930059376 TX DME Supplier - Physician - Podiatry 9931287489 Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

1310 Ranch Road 620 S
Ste A14
Lakeway, TX 78734
Phone (512) 733-8600

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1316091689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DRIVE",
            "address_2": "SUITE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814086",
            "telephone_number": "512-733-8600",
            "fax_number": "512-733-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DRIVE",
            "address_2": "SUITE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814086",
            "telephone_number": "512-733-8600",
            "fax_number": "512-733-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT ASSOCIATES OF CENTRAL TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "PATTISON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-733-8600",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0051ER",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081462601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.