Individual provider Active NPI

Foy Edward Dark III, DO

  • Emergency Medicine Physician
  • Waco, TX
National Provider Identifier
1003928060
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
TXBL2860 Issued in TX
Practice address
1201 Hewitt Dr
Suite 203
Waco, TX 76712-8833
Phone
(254) 666-3627
Fax
(243) 732-6125
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TXBL2860 TX Primary
Family Medicine Physician 207Q00000X L2860 TX

Addresses

Primary practice location

1201 Hewitt Dr
Suite 203
Waco, TX 76712-8833

Mailing address

1201 Hewitt Dr
Suite 203
Waco, TX 76712-8833
Phone (254) 666-3627

Other identifiers 3

IdentifierTypeStateIssuer
8G2620OtherTXBC BS OF TX
147338106MedicaidTX
920116707OtherTXRR MCR TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000191 TX Practitioner - Emergency Medicine 0446351233 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TXBL2860TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jul 13, 2015 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jul 13, 2015 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Dec 26, 2012 Accepting new patients
DCS Medical PA CurrentSince Apr 6, 2016 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Dec 26, 2012 Accepting new patients
DCS Medical PA CurrentSince Jul 1, 2016 Accepting new patients
Central Texas Urgent Care P.a. Emergency Medicine PastSince Dec 30, 2011 Accepting new patients
NP Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

1201 Hewitt Dr
Ste 203
Waco, TX 76712
Phone (254) 666-3627

Ownership & related parties

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integrity Urgent CareGreenville, TX, CCN 673974 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Director
W-2 Managing Employee
Jul 1, 2016
Jul 1, 2016
Apr 6, 2016
Integrity Urgent CareAthens, TX, CCN 678902 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Director
W-2 Managing Employee
Aug 21, 2023
Jul 1, 2016
Apr 6, 2016
Integrity Urgent CareCorsicana, TX, CCN 678901 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Director
W-2 Managing Employee
Jul 1, 2016
Jul 1, 2016
Apr 6, 2016
Integrity Urgent CareKilleen, TX, CCN 678905 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Jul 1, 2016
Integrity Urgent CareBrenham, TX, CCN 678925 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
Apr 15, 2022
Apr 15, 2022
Integrity Urgent CareMineral Wells, TX, CCN 678926 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Jul 1, 2016
Integrity Urgent CareStephenville, TX, CCN 678933 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
Oct 12, 2022
Apr 15, 2022
Integrity Urgent CareMarshall, TX, CCN 678938 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
W-2 Managing Employee
Apr 6, 2016
Apr 15, 2022
Integrity Urgent CareCopperas Cove, TX, CCN 678943 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Jul 1, 2016
Integrity Urgent CareDecatur, TX, CCN 678945 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Apr 6, 2016
Integrity Urgent CareHearne, TX, CCN 678942 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Apr 6, 2016
Integrity Urgent CareBonham, TX, CCN 678919 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
W-2 Managing Employee (100%)
Jan 1, 2025
Jan 1, 2025
Integrity Urgent CareSpringtown, TX, CCN 678957 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Jul 1, 2016
Apr 13, 2022
Integrity Urgent CareQuinlan, TX, CCN 678956 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Jul 1, 2016
Apr 13, 2022
Integrity Urgent CarePalestine, TX, CCN 678964 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Aug 21, 2023
Integrity Urgent CareGatesville, TX, CCN 678962 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Nov 1, 2022
DCS Medical PARockdale, TX, CCN 678963 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Aug 21, 2023

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1003928060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HEWITT DR",
            "address_2": "SUITE 203",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128833",
            "telephone_number": "254-666-3627",
            "fax_number": "254-732-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HEWITT DR",
            "address_2": "SUITE 203",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128833",
            "telephone_number": "254-666-3627",
            "fax_number": "243-732-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARK",
        "first_name": "FOY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "TXBL2860",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TX",
            "identifier": "8G2620",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147338106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR TX",
            "identifier": "920116707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.