DR. GRANT EVAN CETTIE DPM NPI 1356359624

NPI Information

  • NPI: 1356359624
  • Provider Name: DR. GRANT EVAN CETTIE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 2921 SOUTHWEST PKWY
    WICHITA FALLS, TX
    ZIP 76308
  • Phone: (940) 692-7078

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NPI Details

DR. Grant Evan Cettie, DPM is a foot and ankle surgery podiatrist in Wichita Falls, TX. DR. Grant Evan Cettie, DPM NPI is 1356359624. 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:

2921 SOUTHWEST PKWY
WICHITA FALLS, TX
ZIP 76308-121
Phone: (940) 692-7078
Fax: (940) 692-7079

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, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection into tendon or ligament (HCPCS:20550)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/22/2010.

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
1213ES0103XPodiatristFoot & Ankle Surgery1092TEXASYes

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
18479NOMEDICARE PINTEXAS
21356359624MEDICARE UPINTEXAS
31536252-01MEDICAIDTEXAS
48B5600OTHERTEXASBCBS

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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