Active NPI
McKinney Podiatric Associates PA
- Foot Surgery Podiatrist
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 1103
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott McKinney, D.P.M.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084070401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Pasadena, TX
- NPI 1003866179
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.