Mobile Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MOBILE PODIATRY LLC

Practice address

535 Chaseridge Dr
McDonough, GA 30253-8326

Phone

(706) 395-5089

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Himmelsbach, DPMNPI 1497061998

Title

Owner

Phone

(706) 395-5089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Elizabeth Himmelsbach, DPM

  • Podiatrist
  • McDonough, GA
  • NPI 1497061998
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1811239486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CHASERIDGE DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538326",
            "telephone_number": "706-395-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CHASERIDGE DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538326",
            "telephone_number": "706-395-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "HIMMELSBACH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-395-5089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in McDonough, GA
• Providers in McDonough, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.