Organization Active NPI

Austin Podiatry, PA

  • Foot Surgery Podiatrist
  • Austin, TX
National Provider Identifier
1669625901
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0582 Issued in TX
Legal business name
AUSTIN PODIATRY, PA
Practice address
4310 James Casey St
Ste 3a
Austin, TX 78745-1251
Phone
(512) 448-3668
Fax
(512) 448-4460
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Dr. Michael H Golf, D.P.M.NPI 1588673420
Title
Owner
Phone
(512) 448-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 0582 TX Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 1871 TX

Addresses

Primary practice location

4310 James Casey St
Ste 3a
Austin, TX 78745-1251

Mailing address

4310 James Casey St
Ste 3a
Austin, TX 78745-1251
Phone (512) 448-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110606000599 TX Part B Supplier - Clinic/Group Practice 8527245208 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX
O20201006000611 TX DME Supplier - Physician - Podiatry 8527245208 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

4310 James Casey St
Ste 3A
Austin, TX 78745
Phone (512) 441-3668

1221 W Ben White Blvd
Ste 212B
Austin, TX 78704
Phone (512) 441-3668

Practitioners & affiliated clinicians

Practitioners 9

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": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1669625901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 JAMES CASEY ST",
            "address_2": "STE 3A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451251",
            "telephone_number": "512-448-3668",
            "fax_number": "512-448-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 JAMES CASEY ST",
            "address_2": "STE 3A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451251",
            "telephone_number": "512-448-3668",
            "fax_number": "512-448-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "GOLF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-448-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "0582",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.