Central Texas Foot Specialist PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CENTRAL TEXAS FOOT SPECIALIST PA

Practice address

301 Denali Pass Ste 1
Cedar Park, TX 78613-2079

Phone

(512) 819-4555

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL TEXAS FOOT SPECIALIST, P.A.As reported in NPPES

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

Authorized official

Name

Dr. Renee Kukla Pietzsch, DPMNPI 1649209503

Title

Owner/Ceo

Phone

(512) 819-4555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Texas Foot Specialist PA

  • Podiatrist
  • Georgetown, TX
  • NPI 1689818684

  O20090618000449

  Same enrollment

Part of

Central TX Foot Spec

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.

• Renee Kukla Pietzsch, DPM

  • Podiatrist
  • Georgetown, TX
  • NPI 1649209503
  NPD Authorized official
• Stephen Lee Smith, DPM

  • Foot & Ankle Surgery Podiatrist
  • Georgetown, TX
  • NPI 1346807583
  NPD

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1992206700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 WILLIAMS DR STE 120",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282891",
            "telephone_number": "512-819-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DENALI PASS STE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132079",
            "telephone_number": "512-819-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS FOOT SPECIALIST PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL TEXAS FOOT SPECIALIST, P.A.",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "PIETZSCH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "KUKLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "512-819-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Park Surgery Center LLP (Hill Country Ambulatory Surgery Center)
• Cedar Park Surgery Center, LLC
• Cedar Park Vision PA
• Cedar Smiles Pediatric Dentistry
• Mario Cendan, NP
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC (Pain Specialists of Austin)
• Central Texas Pain Institute, PLLC (Pain Specialists of Austin)
• Holly Lauren Cervantes, MS, LPC
• Taylor Cestari

• Foot & Ankle Surgery Podiatrist in Cedar Park, TX
• Providers in Cedar Park, 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 Feb 27, 2018; 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.