Island Foot and Ankle, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ISLAND FOOT AND ANKLE, PLLC

Practice address

4920 Seawall Blvd Ste B
Galveston, TX 77551-6011

Phone

(409) 405-1977

Fax

(409) 405-1728

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeanna Michelle Mascorro, DPMNPI 1477828127

Title

Owner

Phone

(409) 405-1977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Jeanna Michelle Mascorro, DPM

  • Foot & Ankle Surgery Podiatrist
  • Galveston, TX
  • NPI 1477828127
  Medicare reassignment NPD Authorized official
• Ginger A Sellars, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montgomery, TX
  • NPI 1942593777
  NPD
• Jared M Shipp, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kingwood, TX
  • NPI 1487915666
  NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1922761998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1553",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775531553",
            "telephone_number": "409-405-1977",
            "fax_number": "409-405-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 SEAWALL BLVD STE B",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775516011",
            "telephone_number": "409-405-1977",
            "fax_number": "409-405-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND FOOT AND ANKLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "MASCORRO",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-405-1977",
        "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": []
}

• Muhammad Uzair Ishaq
• Deniz Isikkent, MD
• Island Chiropractic & Rehabilitation, P.a.
• Island Clinic, P.a.
• Island Dental
• Island Health Center, P.a.
• Island Life Services LLC
• Island MRI
• Island Nightingale
• Deena Ismail

• Foot & Ankle Surgery Podiatrist in Galveston, TX
• Providers in Galveston, 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 Dec 2, 2021; 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.