Nacogdoches Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

NACOGDOCHES PODIATRY PLLC

Practice address

618 N University Dr
Nacogdoches, TX 75961-4617

Phone

(936) 569-7460

Fax

(936) 560-5840

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By 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

Dr. Larry J Laurich, DPMNPI 1255326286

Title

Member

Phone

(936) 569-7460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Larry Laurich

  • Podiatrist
  • Nacogdoches, TX
  • NPI 1255326286
  Medicare reassignment Care Compare group NPD Authorized official
• Chad Laurich, DPM

  • Foot & Ankle Surgery Podiatrist
  • Nacogdoches, TX
  • NPI 1881949352
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1982085445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614617",
            "telephone_number": "936-569-7460",
            "fax_number": "936-560-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614617",
            "telephone_number": "936-569-7460",
            "fax_number": "936-560-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "LAURICH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "936-569-7460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nacogdoches Pediatric Care (Nacogdoches Pediatric Extended Care)
• Nacogdoches Physical Therapy LLC (Nacogdoches Physical Exellence Center)
• Nacogdoches Pulmonary and Sleep Associates PA
• Nacogdoches Radiology Associates
• Nacogdoches Rehabilitation Group, Inc
• Nacogdoches Spine PLLC
• Nacogdoches Wellness

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.