Organization Active NPI

Kutchback Podiatry PA

  • Foot & Ankle Surgery Podiatrist
  • The Woodlands, TX
National Provider Identifier
1619031630
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1755 Issued in TX
Legal business name
KUTCHBACK PODIATRY PA
Practice address
9004 Forest Crossing Drive
Suite C
The Woodlands, TX 77381
Phone
(281) 298-5053
Fax
(832) 797-6898
NPI assigned
Dec 21, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
James W Kutchback, DPMNPI 1205844370
Title
Owner
Phone
(281) 298-5053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1755 TX Primary

Addresses

Primary practice location

9004 Forest Crossing Drive
Suite C
The Woodlands, TX 77381

Mailing address

71 N Summer Cloud Dr
The Woodlands, TX 77381-6224
Phone (936) 273-7831

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1619031630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 N SUMMER CLOUD DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816224",
            "telephone_number": "936-273-7831",
            "fax_number": "936-273-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 FOREST CROSSING DRIVE",
            "address_2": "SUITE C",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-298-5053",
            "fax_number": "832-797-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTCHBACK PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "KUTCHBACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-298-5053",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.