Organization Active NPI

Ava K Washko DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Humble, TX
National Provider Identifier
1487029617
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2138 Issued in TX
Legal business name
AVA K WASHKO DPM PLLC
Practice address
9816 Memorial Blvd Ste 202
Humble, TX 77338
Phone
(832) 644-9798
Fax
(832) 777-1748
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
Dr. Ava Kristine Washko, DPM
Title
Owner
Phone
(832) 644-9798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2138 TX Primary

Addresses

Primary practice location

9816 Memorial Blvd Ste 202
Humble, TX 77338

Mailing address

9816 Memorial Blvd
Suite #202
Humble, TX 77338-4255
Phone (832) 644-9798

Other identifiers 2

IdentifierTypeStateIssuer
3673303MedicaidTX
3488348MedicaidTX

National Provider Directory

National Provider Directory

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": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1487029617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD",
            "address_2": "SUITE #202",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384255",
            "telephone_number": "832-644-9798",
            "fax_number": "832-777-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD STE 202",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "832-644-9798",
            "fax_number": "832-777-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA K WASHKO DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "WASHKO",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-644-9798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3673303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3488348",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.