Organization Active NPI

Podiatry Associates of Weatherford

  • Podiatrist
  • Weatherford, TX
National Provider Identifier
1497497457
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY ASSOCIATES OF WEATHERFORD
Practice address
912 Foster LN Ste 100
Weatherford, TX 76086-8716
Phone
(817) 800-8380
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PODIATRY ASSOCIATES OF TEXAS.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Mrs. Rudy Salano
Title
Office Manager
Phone
(817) 939-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

912 Foster LN Ste 100
Weatherford, TX 76086-8716

Mailing address

912 Foster LN Ste 100
Weatherford, TX 76086-8716
Phone (817) 800-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220813000262 TX Part B Supplier - Clinic/Group Practice 1456734193 Receives reassigned benefits from 5 practitioners
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory
Part of
Podiatry Associates of Texas

Locations

912 Foster Ln
Weatherford, TX 76086
Phone (817) 599-8500

912 Foster Ln
Ste 100
Weatherford, TX 76086
Phone (682) 262-1433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9826/brand/1/csg/1/fhir/r4

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1497497457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 FOSTER LN STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760868716",
            "telephone_number": "817-800-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 FOSTER LN STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760868716",
            "telephone_number": "817-800-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF WEATHERFORD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PODIATRY ASSOCIATES OF TEXAS.",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "SALANO",
        "authorized_official_first_name": "RUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-939-2446",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.