Fas Of Tw LLC
Podiatrist, Foot & Ankle Surgery in Shenandoah, TX. Organization (NPI-2).
NPI number1942011986
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1942011986
- Entity type
- Organization (NPI-2)
- Legal business name
- Fas Of Tw LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
| 261QP1100X | Clinic/Center, Podiatric | – | – |
Practice location
9191 Pinecroft Dr Ste 100Shenandoah, TX 77380-2797
Phone 346-590-2730
Mailing address
434 W Ascension Way Ste 425Murray, UT 84123-3102
Phone 801-292-4425
Authorized official
Marcin Noble Vaclaw
Physician
2819097722
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Foot & Ankle Surgery Podiatrist providers in Shenandoah, TX
- Eric R Blanson, DPMNPI 1215285135
- Veronika BoulantsovaNPI 1235699844
- Brian Conley, DPMNPI 1932453917
- Stacey Curry, DPMNPI 1366674111
- Interventional Partners LLCNPI 1871129445
- David S Jenson, DPMNPI 1629046669
- Trent Lamar Monson, DPMNPI 1356862353
- Stephen Moore, DPMNPI 1972980670
- Pmc Foot And Ankle Clinic PANPI 1922579267
- Gregory Vidovic, DPM, D.ABFASNPI 1548602212
All 11 Foot & Ankle Surgery Podiatrist providers in Shenandoah · All 1,294 providers in Shenandoah
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.