Organization Active NPI

Center for Foot and Ankle Surgery, PA

  • Podiatric Clinic/Center
  • Austin, TX
National Provider Identifier
1982673455
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
1625 Issued in TX
Legal business name
CENTER FOR FOOT AND ANKLE SURGERY, PA
Practice address
1015 E 32ND St
Ste 204
Austin, TX 78705-2707
Phone
(512) 477-8853
Fax
(512) 477-2592
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Charles Jason Hubbard, D.P.M.
Title
Owner
Phone
(512) 477-8853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 1625 TX Primary

Addresses

Primary practice location

1015 E 32ND St
Ste 204
Austin, TX 78705-2707

Mailing address

P.O. Box 4948
Austin, TX 78765-4948
Phone (512) 477-8853

Other identifiers 2

IdentifierTypeStateIssuer
0093JQOtherTXBCBS OF TEXAS
158149801MedicaidTX

National Provider Directory

National Provider Directory

Locations

1015 E 32nd St
Ste 204
Austin, TX 78705
Phone (512) 477-8853

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1982673455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4948",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787654948",
            "telephone_number": "512-477-8853",
            "fax_number": "512-477-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-477-8853",
            "fax_number": "512-477-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FOOT AND ANKLE SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-477-8853",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0093JQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158149801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.