Shine John is a Podiatrist in Austin, Texas. Shine John practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Shine John is 1245407295. The last update date is 2022-08-16.
Shine John's current location address is 11614 Fm 2244 Rd Ste 150, Austin, Texas. You can contact this provider via phone number 5123995711 and fax number 5123995707. The mailing address for Shine John is 11614 Fm 2244 Rd Ste 150, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shine John |
|---|---|
| Address | 11614 Fm 2244 Rd Ste 150, Austin, Texas |
| Phone Number | 5123995711 |
| Fax Number | 5123995707 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1245407295 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2022-08-16 |
Provider Mailing Address Detail
| Address | 11614 Fm 2244 Rd Ste 150 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787385471 |
| Phone Number | 5123995711 |
| Fax Number | 5123995707 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16005365 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16005365 | IL | IL STATE LICENSE | |
| 1910 | TX | STATE OF TEXAS |
Post Comment/ Review Below
What is the unique identifier code issued to Shine John by the Centers for Medicare & Medicaid Services?
The Shine John has been assigned the NPI (National Provider Identifier) 1245407295. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shine John?
The Shine John is situated at 11614 Fm 2244 Rd Ste 150, in the city of Austin, state of TX, with the zip code 787385471.
What is the Shine John's area of specialization and corresponding taxonomy classification?
The Shine John's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1245407295 to Shine John?
The Centers for Medicare & Medicaid Services assigned the 1245407295 to Shine John on 2008-05-09.
When was the information regarding Shine John, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shine John, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-08-16.
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