Wichita Falls Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

WICHITA FALLS PODIATRY PLLC

Practice address

1518 10TH St
Wichita Falls, TX 76301-4405

Phone

(940) 767-2228

Fax

(940) 767-2334

NPI assigned

Sep 13, 2016

Last updated

Sep 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patcharabhorn Klumb, DPMNPI 1558625624

Title

Owner-Member

Phone

(216) 882-5144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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.

• Patcharabhorn Klumb, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wichita Falls, TX
  • NPI 1558625624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1942758529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014405",
            "telephone_number": "940-767-2228",
            "fax_number": "940-767-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014405",
            "telephone_number": "940-767-2228",
            "fax_number": "940-767-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FALLS PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "KLUMB",
        "authorized_official_first_name": "PATCHARABHORN",
        "authorized_official_title_or_position": "OWNER-MEMBER",
        "authorized_official_telephone_number": "216-882-5144",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Wichita Falls, TX
• Providers in Wichita Falls, 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 Sep 13, 2016; 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.