KUTCHBACK PODIATRY PA NPI 1639439409

NPI Information

NPI: 1639439409
Provider Name: KUTCHBACK PODIATRY, PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
17191 ST LUKES WAY
SUITE 290
THE WOODLANDS, TX
ZIP 77384
Phone: (936) 273-3311
Get Directions

KUTCHBACK PODIATRY, PA is a foot and ankle surgery podiatrist in The Woodlands, TX. KUTCHBACK PODIATRY, PA NPI is 1639439409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17191 ST LUKES WAY
SUITE 290
THE WOODLANDS, TX
ZIP 77384-042
Phone: (936) 273-3311
Fax: (936) 273-3368

The provider's authorized official is Elizabeth Kutchback .
The authorized official title is Office Contact and has the following contact phone number (936) 273-7831.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	1755	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U07016	MEDICARE UPIN	TEXAS
2	8K0509	MEDICARE PIN	TEXAS
3	180070801	MEDICAID	TEXAS
4	P00448635	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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