Clear Lake Foot & Ankle Specialist PA

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

CLEAR LAKE FOOT & ANKLE SPECIALIST PA

Practice address

13810 John Audubon Pkwy Ste B
Webster, TX 77598-3862

Phone

(281) 488-8300

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Taren Lindsay Cardona, DPMNPI 1205193588

Title

Owner

Phone

(281) 488-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Taren Lindsay Cardona, DPM

  • Foot & Ankle Surgery Podiatrist
  • Webster, TX
  • NPI 1205193588
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1326371915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 JOHN AUDUBON PKWY STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983862",
            "telephone_number": "281-488-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 JOHN AUDUBON PKWY STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983862",
            "telephone_number": "281-488-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE FOOT & ANKLE SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "TAREN",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-488-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01017253",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047948702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Cardiovascular Care PA
• Clear Lake Children's Center
• Clear Lake Dermatology, PLLC (Clear Lake Dermatology)
• Clear Lake Eye Center
• Clear Lake Eye Center PLLC
• Clear Lake Healthcare (South Houston Treatment Center LLC d/b/a Clear Lake Healthcare)
• Clear Lake Hospitalists PA
• Clear Lake Inpatient Care PA
• Clear Lake Institute for Rehabilitation LLC (PAM Rehabilitation Hospital of Clear Lake)
• Clear Lake Integrated Health Care

• Foot Surgery Podiatrist in Webster, TX
• Providers in Webster, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.