Active NPI
Mark D Cettie
Doing business as High Plains Podiatry Group
- Podiatrist
- Amarillo, TX
National Provider Identifier
1376746693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- TX0974
- Legal business name
- MARK D CETTIE
- Doing business as
- High Plains Podiatry Group
- Practice address
- 1900 S Coulter St Ste P
Amarillo, TX 79106-1795 - Phone
- (806) 354-8760
- Fax
- (806) 354-8792
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark D Cettie, DPM
- Title
- Cfo
- Phone
- (806) 354-8760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | TX0974 | TX | Primary |
Addresses
Primary practice location
1900 S Coulter St Ste P
Amarillo, TX 79106-1795
Mailing address
1900 S Coulter St Ste P
Amarillo, TX 79106-1795
Phone (806) 354-8760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0072AX | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- High Plains Podiatry Group
National Provider Directory
National Provider DirectoryLocations
1900 S Coulter St
Ste P
Amarillo, TX 79106
Phone (806) 354-8760
2017 S Coulter St
Amarillo, TX 79106
Phone (806) 354-8760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1376746693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S COULTER ST STE P",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061795",
"telephone_number": "806-354-8760",
"fax_number": "806-354-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S COULTER ST STE P",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061795",
"telephone_number": "806-354-8760",
"fax_number": "806-354-8792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK D CETTIE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "CETTIE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "806-354-8760",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "TX0974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0072AX",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "High Plains Podiatry Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
- Marc Henson, M.D., P.a.
- Darla Jean Marcear, M.A.,CCC-SLP
- George J Marck, MD
- Christopher Marez-Nevarez
- Margaret E Thurmond Anderle MD PA
- Mark Malone MD PA (Advanced Pain Care)
- Mark Malone MD PA (Advanced Pain Care)
- Cassandra Markham
- Kristine R Marks, MS, CCC/SLP
- Marlene's Home Medical Equipment & Supplies LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.