Spur Podiatry
NPI 1578363164ActiveOrganization· Podiatrist· Trophy Club, TX
Podiatrist in Trophy Club, Texas, registered in NPPES in March 2025. The authorized official on file is Timothy Fishman, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1578363164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2025 |
| Last updated in NPPES | Jun 26, 2025 |
| Certified by provider | Jun 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Podiatrist providers in Trophy Club
- 1083837421
- 1083933618
- 1376542795