Pro Active Podiatry PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PRO ACTIVE PODIATRY PA

Practice address

2504 Ridge Rd
Suite 101B
Rockwall, TX 75087-2569

Phone

(972) 232-2240

Fax

(972) 232-2241

NPI assigned

Sep 13, 2013

Last updated

Sep 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Parichart Vaikayee, DPM

Title

President

Phone

(972) 232-2240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pro Active Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Centennial, CO
  • NPI 1225432057

  O20131231001717

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Franklin Steen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Englewood, CO
  • NPI 1245292796
  NPD (past)

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1740615301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 101B",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-232-2240",
            "fax_number": "972-232-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 101B",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-232-2240",
            "fax_number": "972-232-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO ACTIVE PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "VAIKAYEE",
        "authorized_official_first_name": "PARICHART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-232-2240",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandy Prince, NP-C
• Princess Home Health Agency Inc
• Priority ER of Rockwall LLC
• Priority One Transportation, LLC
• Proskill Behavioral Services PLLC
• Prosurg Surgical Assisting LLC
• Kayle Purvis
• Julia Pye, PA-C
• Quantum Therapy Solutions, Inc.

• Foot & Ankle Surgery Podiatrist in Rockwall, TX
• Providers in Rockwall, 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 13, 2013; 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.