Pan Acea Foot Center, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1402 Issued in TX

Legal business name

PAN ACEA FOOT CENTER, P.A.

Practice address

9896 Bellaire Blvd Ste H
Houston, TX 77036-3496

Phone

(713) 270-8682

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Simon T Pan, M.D.NPI 1841394343

Title

President

Phone

(713) 270-8682

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 5

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

• Simon Tin Yeang Pan, DPM

  • Podiatrist
  • Houston, TX
  • NPI 1841394343
  Medicare reassignment NPD Authorized official
• Mandy Ho, RN

  • Adult Day Care Clinic/Center
  • Houston, TX
  • NPI 1205606621
  NPD
• Trang H. Nguyen, DPM

  • Podiatrist
  • Houston, TX
  • NPI 1376567156
  NPD
• My Kim Tran, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1023614104
  NPD (past)
• Tam Minh Truong, M.D.

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1104083039
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1689859027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BELLAIRE BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363496",
            "telephone_number": "713-270-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BELLAIRE BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363496",
            "telephone_number": "713-270-8682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14248 Bellaire Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770837536",
            "country_code": "US",
            "telephone_number": "713-270-8682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAN ACEA FOOT CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-270-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018608201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Evonne Wilhite (Majestic Optical)
• Mohan Pammi, M.D., PH.D.
• Alex Lauren Pampalone, DDS
• Hope Pamplin, LPC
• Chinyere Pamugo
• Pan-American OB-GYN PA
• Christine Pan, M.D.
• Jenny Szu-Chin Pan, M.D.
• Jonathan Pan
• Kelsey Pan, MD/MPH

• Podiatrist in Houston, TX
• Providers in Houston, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.