NPIMap

Organization Active NPI

Foot and Ankle Wellness, LLC

Doing business as Ankle and foot Wellness

  • Foot & Ankle Surgery Podiatrist
  • Cypress, TX
National Provider Identifier
1720686801
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE WELLNESS, LLC
Doing business as
Ankle and foot Wellness
Practice address
21216 Northwest Fwy Ste 240
Cypress, TX 77429-4695
Phone
(281) 955-5500
Fax
(281) 890-9365
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Amr Hatem El-Khashab, DPM
Title
Owner
Phone
(281) 382-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

21216 Northwest Fwy Ste 240
Cypress, TX 77429-4695

Mailing address

21216 Northwest Fwy Ste 240
Cypress, TX 77429-4695
Phone (281) 955-5500

Other identifiers 1

IdentifierTypeStateIssuer
1336566025OtherTXNPI

Other names 1

  • Ankle and foot Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@practiceehr.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Foot Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1720686801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 240",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "281-955-5500",
            "fax_number": "281-890-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 240",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "281-955-5500",
            "fax_number": "281-890-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "EL-KHASHAB",
        "authorized_official_first_name": "AMR",
        "authorized_official_middle_name": "HATEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-382-2081",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336566025",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@practiceehr.com",
            "affiliation": "N",
            "endpointDescription": "info@practiceehr.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21216 Northwest Fwy Ste 240",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774294695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ankle and foot Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.