In Home Podiatry Clinic LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

IN HOME PODIATRY CLINIC LLC

Practice address

1301 W 7TH St
Ste 121a
Fort Worth, TX 76102-2651

Phone

(817) 348-9967

Fax

(877) 474-7346

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mark T Mithchell

Title

Owner/Ceo

Phone

(248) 893-0500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1629388160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 7TH ST",
            "address_2": "STE 121A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022651",
            "telephone_number": "817-348-9967",
            "fax_number": "877-474-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 7TH ST",
            "address_2": "STE 121A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022651",
            "telephone_number": "817-348-9967",
            "fax_number": "877-474-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PODIATRY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MITHCHELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "248-893-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.