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Shine John is one of 40 podiatrists practicing in Austin, Texas .
Shine John practices with Privia Medical Group Gulf Coast PLLC.
Registry record (NPPES)
NPI
1245407295
Type
Type 1 · Individual
Primary taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Address on file
11614 FM 2244 Rd Ste 150 Austin, TX 78738-5471 (512) 399-5711
Enumerated
May 9, 2008
Record last updated
Aug 16, 2022
License states listed
IL, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPodiatry
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
11614 FM 2244 Rd Suite 150
Austin , TX 78738
(512) 399-5711
12005 Bee Caves Rd V
Austin , TX 78738
(512) 225-0766
More podiatrists in Austin
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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