Organization Active NPI

McKinney Podiatric Associates PA

  • Foot Surgery Podiatrist
  • Pasadena, TX
National Provider Identifier
1932227063
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1103 Issued in TX
Legal business name
MCKINNEY PODIATRIC ASSOCIATES PA
Practice address
4102 Woodlawn Ave Ste 150B
Pasadena, TX 77504-1922
Phone
(713) 947-1016
Fax
(713) 947-1071
NPI assigned
Mar 27, 2007
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Scott McKinney, D.P.M.NPI 1003866179
Title
President
Phone
(713) 946-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L2281 TX
Foot Surgery Podiatrist 213ES0131X 1172 TX
Foot Surgery Podiatrist 213ES0131X 1444 TX
Foot Surgery Podiatrist 213ES0131X 1645 TX
Foot Surgery Podiatrist 213ES0131X 1832 TX
Foot Surgery Podiatrist 213ES0131X 1103 TX Primary

Addresses

Primary practice location

4102 Woodlawn Ave Ste 150B
Pasadena, TX 77504-1922

Mailing address

4102 Woodlawn Ave Ste 140
Pasadena, TX 77504-1948
Phone (713) 946-1500

Other identifiers 1

IdentifierTypeStateIssuer
084070401MedicaidTX

National Provider Directory

National Provider Directory

Locations

4102 Woodlawn Ave
Ste 150B
Pasadena, TX 77504
Phone (713) 946-4143

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1932227063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN AVE STE 140",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041948",
            "telephone_number": "713-946-1500",
            "fax_number": "713-946-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN AVE STE 150B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041922",
            "telephone_number": "713-947-1016",
            "fax_number": "713-947-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY PODIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-946-1500",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2281",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1172",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1444",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1645",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1832",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084070401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.