DR. LAWRENCE SCOTT MACTAVISH D.P.M. NPI 1104858885

NPI Information

  • NPI: 1104858885
  • Provider Name: DR. LAWRENCE SCOTT MACTAVISH, D.P.M.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17215 RED OAK DR
    STE 102
    HOUSTON, TX
    ZIP 77090
  • Phone: (281) 444-4114

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NPI Details

DR. Lawrence Scott Mactavish, D.P.M. is a podiatrist in Houston, TX with 22 years of experience. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Lawrence Scott Mactavish, D.P.M. NPI is 1104858885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2003

The provider's business location address is:

17215 RED OAK DR
STE 102
HOUSTON, TX
ZIP 77090-611
Phone: (281) 444-4114
Fax: (281) 453-1269

The NPI 1104858885 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Removal of skin of fingernail or toenail (HCPCS:11765)
  • Injection into tendon at attachment to bone or muscle (HCPCS:20551)
  • Injection into tendon or ligament (HCPCS:20550)
  • Biopsy of fingernail or toenail (HCPCS:11755)

The enumeration date for this NPI number is 7/6/2006 and was last updated on 2/8/2011.

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
1213E00000XPodiatrist1715TEXASYes

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
1172014602MEDICAIDTEXAS
28D0215MEDICARE PINTEXAS
380207XOTHERTEXASBCBS
4172014603MEDICAIDTEXAS
500448339OTHERTEXASRR MEDICARE
60660130002MEDICARE NSCTEXAS
78W6251OTHERTEXASBCBS
81313110001MEDICARE NSCTEXAS
9P00397523OTHERTEXASRR MEDICARE
10V01911MEDICARE UPINTEXAS
118F4119MEDICARE PINTEXAS

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: 11/21/2025

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