DR. EDWARD M. JACQUET D.P.M. NPI 1154434066

NPI Information

NPI: 1154434066
Provider Name: DR. EDWARD M. JACQUET, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
5119 FAIRMONT PARKWAY
SUITE B-2
PASADENA, TX
ZIP 77505
Phone: (713) 910-5577
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DR. Edward M. Jacquet, D.P.M. is a foot and ankle surgery podiatrist in Pasadena, TX. DR. Edward M. Jacquet, D.P.M. NPI is 1154434066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5119 FAIRMONT PARKWAY
SUITE B-2
PASADENA, TX
ZIP 77505-759
Phone: (713) 910-5577
Fax: (713) 910-1992

The NPI 1154434066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/16/2006 and was last updated on 2/20/2012.

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	TX0639	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	Other Provider Identifier Issuer
1	00JT92	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE #
2	T14024	MEDICARE UPIN	TEXAS

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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