Organization Active NPI

Bay Area Podiatry Associates, PA

  • Podiatrist
  • Houston, TX
National Provider Identifier
1609089770
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BAY AREA PODIATRY ASSOCIATES, PA
Practice address
1234 Bay Area Blvd Ste G
Houston, TX 77058-2538
Phone
(281) 488-3237
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Thomas S GarrisonNPI 1689668956
Title
Owner
Phone
(281) 488-3237

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1234 Bay Area Blvd Ste G
Houston, TX 77058-2538

Mailing address

1234 Bay Area Blvd Ste G
Houston, TX 77058-2538
Phone (281) 488-3237

Other identifiers 1

IdentifierTypeStateIssuer
083895501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080415000184 TX Part B Supplier - Clinic/Group Practice 6901984095 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20100930029797 TX DME Supplier - Physician - Podiatry 6901984095 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1234 Bay Area Blvd
Ste G
Houston, TX 77058
Phone (281) 488-3237

11920 Astoria Blvd
Ste 295
Houston, TX 77089
Phone (281) 412-6003

Practitioners & affiliated clinicians

Practitioners 3

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1609089770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-488-3237",
            "fax_number": "281-488-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-488-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PODIATRY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-488-3237",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083895501",
            "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 Nov 6, 2008; 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.