Foot and Ankle Associates of Fort Worth, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT AND ANKLE ASSOCIATES OF FORT WORTH, PLLC

Practice address

1001 12TH Ave Ste 104
Fort Worth, TX 76104-3928

Phone

(817) 336-6600

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Neale Williams, DPMNPI 1194990077

Title

Owner

Phone

(817) 821-5991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Mitchell N Williams, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Worth, TX
  • NPI 1194990077
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1831872555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043928",
            "telephone_number": "817-336-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043928",
            "telephone_number": "817-336-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE ASSOCIATES OF FORT WORTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "NEALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-821-5991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin John Fontenot, CRNA
• Victoria T Fontenot, LPC
• Zachary Austin Fontenot
• Paula Kay Fontenote, ANP
• Bruno Fontes, MD
• Foot Solutions of Fort Worth, Inc.
• Laine F Foran, DO
• Kathleen Lee Forbes, M.D.
• Mandy Grace Forbes
• Sharon Forbes, APRN, RN

• Foot & Ankle Surgery Podiatrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.