Organization Active NPI

Foot & Ankle Podiatry of Texas PC

  • Primary Podiatric Medicine Podiatrist
  • El Paso, TX
National Provider Identifier
1609918697
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0458 Issued in TX
Legal business name
FOOT & ANKLE PODIATRY OF TEXAS PC
Practice address
601 Sunland Park Dr
BLDG 1
El Paso, TX 79912-5131
Phone
(915) 533-1622
Fax
(915) 533-1625
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Ms. Josie Redfearn
Title
Office Manager
Phone
(915) 533-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 0458 TX Primary

Addresses

Primary practice location

601 Sunland Park Dr
BLDG 1
El Paso, TX 79912-5131

Mailing address

601 Sunland Park Dr
BLDG 1
El Paso, TX 79912-5131
Phone (915) 533-1622

Other names 1

  • F.A.S.T Other name

National Provider Directory

National Provider Directory

Locations

3917 N Mesa St
El Paso, TX 79902
Phone (915) 533-1622

Practitioners & affiliated clinicians

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1609918697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SUNLAND PARK DR",
            "address_2": "BLDG 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125131",
            "telephone_number": "915-533-1622",
            "fax_number": "915-533-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUNLAND PARK DR",
            "address_2": "BLDG 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125131",
            "telephone_number": "915-533-1622",
            "fax_number": "915-533-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE PODIATRY OF TEXAS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "REDFEARN",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-533-1622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "0458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F.A.S.T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.