Organization Active NPI

S & S Foot Specialists, PA

  • Foot & Ankle Surgery Podiatrist
  • Lake Jackson, TX
National Provider Identifier
1679740401
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
S & S FOOT SPECIALISTS, PA
Practice address
121 Highway 332 W Ste G
Lake Jackson, TX 77566-4099
Phone
(979) 297-8500
Fax
(979) 297-3027
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Mohammad J Baba, MD
Title
President
Phone
(979) 297-8500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X TX1036 TX
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

121 Highway 332 W Ste G
Lake Jackson, TX 77566-4099

Mailing address

PO Box 58508
Webster, TX 77598-8508
Phone (979) 297-8500

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

121 Highway 332 W
Ste G
Lake Jackson, TX 77566
Phone (979) 297-8500

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1679740401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58508",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988508",
            "telephone_number": "979-297-8500",
            "fax_number": "979-297-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HIGHWAY 332 W STE G",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664099",
            "telephone_number": "979-297-8500",
            "fax_number": "979-297-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S FOOT SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "BABA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-297-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "TX1036",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.