Organization Active NPI

George C Bakatsas

  • Podiatrist
  • Lubbock, TX
National Provider Identifier
1629259346
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1316 Issued in TX
Legal business name
GEORGE C BAKATSAS
Practice address
6849 82ND Street
Suite 102
Lubbock, TX 79424
Phone
(806) 300-0134
Fax
(806) 300-0851
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Dr. George C Bakatsas, DPM
Title
Physician
Phone
(832) 768-6142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1316 TX Primary

Addresses

Primary practice location

6849 82ND Street
Suite 102
Lubbock, TX 79424

Mailing address

PO Box 98
Wolfforth, TX 79382-0098
Phone (806) 300-0134

Other identifiers 1

IdentifierTypeStateIssuer
092745101MedicaidTX

National Provider Directory

National Provider Directory

Locations

6849 82nd St
Ste 102
Lubbock, TX 79424
Phone (806) 300-0134

15200 Southwest Fwy
Ste 375
Sugar Land, TX 77478
Phone (281) 265-3338

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1629259346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793820098",
            "telephone_number": "806-300-0134",
            "fax_number": "806-300-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 82ND STREET",
            "address_2": "SUITE 102",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-300-0134",
            "fax_number": "806-300-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE C BAKATSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "BAKATSAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-768-6142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092745101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.