Organization Active NPI

Elizabeth R Eline DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Seguin, TX
National Provider Identifier
1750415576
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1237 Issued in TX
Legal business name
ELIZABETH R ELINE DPM PA
Practice address
1064 E Ireland St
Seguin, TX 78155-4849
Phone
(830) 372-3668
Fax
(830) 379-1604
NPI assigned
Mar 15, 2007
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Ms. Elizabeth R Eline, D.P.M.
Title
Owner
Phone
(830) 372-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1237 TX Primary

Addresses

Primary practice location

1064 E Ireland St
Seguin, TX 78155-4849

Mailing address

1064 E Ireland St
Seguin, TX 78155-4849
Phone (830) 372-3668

Other identifiers 3

IdentifierTypeStateIssuer
80X040OtherTXBLUE CROSS BLUE SHIELD
480018841OtherTXRAILROAD MEDICARE
0849044-01MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1750415576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 E IRELAND ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554849",
            "telephone_number": "830-372-3668",
            "fax_number": "830-379-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 E IRELAND ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554849",
            "telephone_number": "830-372-3668",
            "fax_number": "830-379-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH R ELINE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "ELINE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-372-3668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80X040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480018841",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0849044-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.