Organization Active NPI

Park Plaza Foot Specialists PC

  • Podiatrist
  • Houston, TX
National Provider Identifier
1588747265
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0789 Issued in TX
Legal business name
PARK PLAZA FOOT SPECIALISTS PC
Practice address
1200 Binz St
#1275
Houston, TX 77004-6937
Phone
(713) 529-1010
Fax
(713) 529-6454
NPI assigned
Oct 24, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Sherman Nagler, DPMNPI 1922101310
Title
President
Phone
(713) 529-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0789 TX Primary

Addresses

Primary practice location

1200 Binz St
#1275
Houston, TX 77004-6937

Mailing address

1200 Binz St
#1275
Houston, TX 77004-6937
Phone (713) 529-1010

Other identifiers 3

IdentifierTypeStateIssuer
4303065OtherTXAETNA
135218901MedicaidTX
8K1283OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101111000731 TX Part B Supplier - Clinic/Group Practice 1658491923 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1588747265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "address_2": "#1275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046937",
            "telephone_number": "713-529-1010",
            "fax_number": "713-529-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "address_2": "#1275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046937",
            "telephone_number": "713-529-1010",
            "fax_number": "713-529-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLAZA FOOT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "NAGLER",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-529-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4303065",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135218901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K1283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.