Hill Country Advanced Foot and Ankle Center, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1744, 1745 Issued in TX

Legal business name

HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.

Practice address

10201 Highway 16
Comanche, TX 76442-4462

Phone

(830) 693-8144

NPI assigned

Jun 16, 2008

Organization subpart

Yes

Parent organization

HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.As reported in NPPES

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

Authorized official

Name

Blake Jamail

Title

Office Manager

Phone

(830) 693-8144

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Hill Country Advanced Foot and Ankle Center PA2 organizations share this tax ID, including this one

Part of

Hill Country Advanced Foot and Ankle Center PA

Other organizations with this tax ID 1

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

• Hill Country Advanced Foot and Ankle Center, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Marble Falls, TX
  • NPI 1467655845
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hill Country Advanced Foot and Ankle Center, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Marble Falls, TX
  • NPI 1467655845
  NPPES parent name

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1356501035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786540220",
            "telephone_number": "830-693-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "830-693-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "JAMAIL",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-693-8144"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1744, 1745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1783805-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "00710Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Justin Dan Holland, D.C.
• Jeffrey Clark Hutchins, DO

• All providers in Comanche, TX
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.