RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES NPI 1013107853

NPI Information

NPI: 1013107853
Provider Name: RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES

Doing Business As: J.C. TANENBAUM, DPM, PA, AND ASSOCIATES

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
600 HOSPITAL CIR STE 103
BAY CITY, TX
ZIP 77414
Phone: (979) 245-9500
Get Directions

RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES is a foot and ankle surgery podiatrist in Bay City, TX. RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES NPI is 1013107853. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As J.c. Tanenbaum, Dpm, Pa, And Associates.

The provider's business location address is:

600 HOSPITAL CIR STE 103
BAY CITY, TX
ZIP 77414-772
Phone: (979) 245-9500
Fax: (979) 323-7370

The provider's authorized official is Richard Scott Kobylar .
The authorized official title is Owner and has the following contact phone number (979) 245-9500.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 1/16/2020.

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	1691	TEXAS	Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies		1691	TEXAS	No

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	181694401	MEDICAID	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »