Organization Active NPI

Mark D Cettie

Doing business as High Plains Podiatry Group

  • Podiatrist
  • Amarillo, TX
National Provider Identifier
1376746693
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TX0974 Issued in TX
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

Updated by the provider on Aug 14, 2012

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0072AXOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • High Plains Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.