Organization Active NPI

Pro-Health Podiatry P.a.

  • Primary Podiatric Medicine Podiatrist
  • Arlington, TX
National Provider Identifier
1821210188
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1529 Issued in TX
Legal business name
PRO-HEALTH PODIATRY P.A.
Doing business as
Pro-Health Podiatry
Practice address
703 Parkford LN
Arlington, TX 76001-7368
Phone
(817) 459-1400
Fax
(817) 459-1401
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dr. Yvette Elaine Forbes-Baker, D.P.M.NPI 1013061670
Title
Doctor of Podiatric Medicine
Phone
(817) 459-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 1529 TX Primary

Addresses

Primary practice location

703 Parkford LN
Arlington, TX 76001-7368

Mailing address

4621 South Cooper Street
#131-281
Arlington, TX 76017-5866
Phone (817) 459-1400

Other names 1

  • Pro-Health Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081029000359 TX Part B Supplier - Clinic/Group Practice 5395803753 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

107 E Park Row Dr
Arlington, TX 76010
Phone (817) 459-1400

4621 S Cooper St
Ste 131281
Arlington, TX 76017

4621 S Cooper St
#131281
Arlington, TX 76017

2705 Hospital Blvd
Ste 103
Grand Prairie, TX 75051
Phone (817) 459-1400

2705 Hospital Blvd
#103
Grand Prairie, TX 75051
Phone (817) 459-1400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1821210188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 SOUTH COOPER STREET",
            "address_2": "#131-281",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175866",
            "telephone_number": "817-459-1400",
            "fax_number": "817-459-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PARKFORD LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017368",
            "telephone_number": "817-459-1400",
            "fax_number": "817-459-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH PODIATRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "FORBES-BAKER",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "817-459-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro-Health Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.