Stephen G, Eichelsdorfer DPM, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

STEPHEN G, EICHELSDORFER DPM, PA

Practice address

8 N Main St Ste P
Kingwood, TX 77339-3750

Phone

(281) 361-7400

Fax

(877) 242-8502

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Stephen G. Eichelsdorfer, DPMNPI 1588642532

Title

Owner/Physician

Phone

(281) 361-7400

Specialties & licenses 1

Addresses

Other names 1

• Town Center Foot & Ankle Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Stephen G Eichelsdorfer, DPM, PA

  • Podiatrist
  • Kingwood, TX
  • NPI 1962579763

  5991604530

  Same PAC ID

Tax ID family

Stephen G Eichelsoorfer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stephen G Eichelsdorfer, DPM, PA

  • Podiatrist
  • Kingwood, TX
  • NPI 1962579763
  NPD tax ID

Locations

Practitioners 1

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

• Stephen G Eichelsdorfer, DPM

  • Podiatrist
  • Kingwood, TX
  • NPI 1588642532
  NPD (past) Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1962670950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST STE P",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393750",
            "telephone_number": "281-361-7400",
            "fax_number": "281-361-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST STE P",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393750",
            "telephone_number": "281-361-7400",
            "fax_number": "877-242-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G, EICHELSDORFER DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "EICHELSDORFER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "281-361-7400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seichelsdorfer@TCFaA-TX.direct.office.nextgen.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 N Main St Ste P",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773393750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Town Center Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Viviana Stellenwerf, DDS
• William Stellenwerf, DDS
• Amanda P Stemmans, FNP-C
• Stephen E. Gustafson, O.D.
• Stephen G Eichelsdorfer, DPM, PA
• Tayler Nicole Stephens, PA-C
• Steven J. Smith, M.D. P.a.
• Deborah Stevens
• Eric R Stevens, MPT
• Tyauna Steward

• Podiatrist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.