PMC Foot and Ankle Clinic PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PMC FOOT AND ANKLE CLINIC PA

Practice address

128 Vision Park Blvd Ste 135
Shenandoah, TX 77384-3017

Phone

(832) 585-1620

Fax

(855) 787-3211

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Eric R Blanson, DPMNPI 1215285135

Title

Surgeon

Phone

(832) 585-1620

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Eric R Blanson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Shenandoah, TX
  • NPI 1215285135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1922579267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 135",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "832-585-1620",
            "fax_number": "855-787-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 135",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "832-585-1620",
            "fax_number": "855-787-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC FOOT AND ANKLE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "BLANSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "832-585-1620",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinewood Sleep Center LLC
• Iago H Pinto, PT, DPT
• Jade Elizabeth Piper, PA-C
• Zarin Pirzada, MD
• Virginia Plumlee
• Sylvia Ann Poe-Velasco, WHNP-BC
• Monica Ann Polonyi, PHD, LPC-S
• Natasa Popovic, M.D.
• Angel M Porter, RN
• Lauren Casey Pradilla, PT, DPT

• Foot & Ankle Surgery Podiatrist in Shenandoah, TX
• Providers in Shenandoah, 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 May 8, 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.