Southwest Austin Foot & Ankle Clinic, PLLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC

Practice address

5625 Eiger Rd Ste 110
Austin, TX 78735-8978

Phone

(512) 447-4122

Fax

(512) 727-0505

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Mark Dee Whitesides

Title

Owner

Phone

(512) 789-1190

Specialties & licenses 1

Addresses

Practitioners 1

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

• VI Nguyen

  • Podiatrist
  • Austin, TX
  • NPI 1497132401
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1740769819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358978",
            "telephone_number": "512-447-4122",
            "fax_number": "512-727-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358978",
            "telephone_number": "512-447-4122",
            "fax_number": "512-727-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Benney Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205566",
            "country_code": "US",
            "telephone_number": "512-447-4122",
            "fax_number": "512-727-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "WHITESIDES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-789-1190"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southpark Austin Dental PLLC (River Rock Dental)
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• Alexis N Southwell
• Southwest Austin Foot & Ankle Clinic, PLLC
• Southwest Bariatric Surgeons PLLC
• Southwest Behavioral Healthcare
• Southwest Diagnostic Centers LTD
• Southwest Key
• Southwest Key

• Primary Podiatric Medicine Podiatrist in Austin, TX
• Providers in Austin, TX by specialty
• Primary Podiatric Medicine Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.