Kutchback Podiatry, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1755 Issued in TX

Legal business name

KUTCHBACK PODIATRY, PA

Practice address

17191 St Lukes Way
Suite 290
The Woodlands, TX 77384-8042

Phone

(936) 273-3311

Fax

(936) 273-3368

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Kutchback

Title

Office Contact

Phone

(936) 273-7831

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James William Kutchback, DPM

  • Foot & Ankle Surgery Podiatrist
  • The Woodlands, TX
  • NPI 1205844370
  Medicare reassignment Care Compare group NPD
• Taylor N Saucier, DPM

  • Foot & Ankle Surgery Podiatrist
  • Victoria, TX
  • NPI 1023687829
  Medicare reassignment Care Compare group NPD
• Azita Arabghani, M.D.

  • Hospitalist Physician
  • The Woodlands, TX
  • NPI 1609130855
  NPD (past)
• Veronica Pina Bugenhagen, MD, DVM

  • Family Medicine Physician
  • Shenandoah, TX
  • NPI 1578537312
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1639439409",
    "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": "17191 ST LUKES WAY",
            "address_2": "SUITE 290",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848042",
            "telephone_number": "936-273-3311",
            "fax_number": "936-273-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTCHBACK PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "KUTCHBACK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE CONTACT",
        "authorized_official_telephone_number": "936-273-7831",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180070801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elim Kuo
• Kemmerley Kuoni
• Mary Paige Kuper, FNP-C
• Aparna Methuku Kura, MD
• Kutchback Podiatry PA
• James William Kutchback, DPM
• David Kuten, M.D.
• Malik A Kutty, M.D.
• Karin Nicole Kuusisto, D.O.
• L.a.S.T.S. LLC

• Foot & Ankle Surgery Podiatrist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.