Active NPI
Fulshear Foot and Ankle PLLC
- Podiatrist
- Fulshear, TX
National Provider Identifier
1811369341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FULSHEAR FOOT AND ANKLE PLLC
- Practice address
- 7609 Tiki Dr Ste D
Fulshear, TX 77441-1678 - Phone
- (281) 391-1212
- NPI assigned
- Oct 23, 2015
- Last updated
- Feb 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanna Michelle Mascorro
- Title
- DPM
- Phone
- (281) 391-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
7609 Tiki Dr Ste D
Fulshear, TX 77441-1678
Mailing address
7609 Tiki Dr Ste D
Fulshear, TX 77441-1678
Phone (281) 391-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151026000289 | TX | DME Supplier - Physician - Podiatry | 6103130935 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fulshear, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Fulshear, TX
- NPI 1346628161
O20151026000289
National Provider Directory
National Provider DirectoryLocations
7609 Tiki Dr
Ste D
Fulshear, TX 77441
Phone (281) 391-1212
Practitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Fulshear, TX
- NPI 1558780999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1811369341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7609 TIKI DR STE D",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774411678",
"telephone_number": "281-391-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7609 TIKI DR STE D",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774411678",
"telephone_number": "281-391-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULSHEAR FOOT AND ANKLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-23",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "MASCORRO",
"authorized_official_first_name": "JEANNA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "281-391-1212"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulshear, TX
- Rebecca Fenton
- First Step Family Medicine
- Fulshear Chiropractic and Spinal Center
- Fulshear Dentistry and Orthodontics PLLC
- Fulshear Foot and Ankle PLLC
- Fulshear Home Health Services LLC
- George Andres Galaz, DDS
- Aaron Gavri, DMD, MSD
- Gentle Guidance Counseling PLLC
- Torey Jamol Gilmore, LPC-ASSOCIATE, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.