Provider Demographics
NPI:1689214546
Name:HEMESATH PODIATRY PLLC
Entity Type:Organization
Organization Name:HEMESATH PODIATRY PLLC
Other - Org Name:HEAD TO TOE HEALING
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DPM
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HEMESATH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:940-538-9002
Mailing Address - Street 1:PO BOX 976
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-0976
Mailing Address - Country:US
Mailing Address - Phone:940-538-9002
Mailing Address - Fax:855-374-3284
Practice Address - Street 1:305 S ARCHER ST
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:TX
Practice Address - Zip Code:76365-3301
Practice Address - Country:US
Practice Address - Phone:940-538-9002
Practice Address - Fax:855-374-3284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX903363OtherMEDICARE PTAN GROUP