Active NPI
Foy Edward Dark III, DO
- Emergency Medicine Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- TXBL2860
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G2620 | Other | TX | BC BS OF TX |
| 147338106 | Medicaid | TX | |
| 920116707 | Other | TX | RR 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TXBL2860 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Victoria Emergency Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| Central Texas Urgent Care P.a. | Emergency Medicine | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Integrity Urgent Care | 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 Care | 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 Care | 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 Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) | Jul 1, 2016 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) Corporate Officer |
Apr 15, 2022 Apr 15, 2022 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) | Jul 1, 2016 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) Corporate Officer |
Oct 12, 2022 Apr 15, 2022 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) W-2 Managing Employee |
Apr 6, 2016 Apr 15, 2022 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) | Jul 1, 2016 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) | Apr 6, 2016 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) | Apr 6, 2016 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) W-2 Managing Employee (100%) |
Jan 1, 2025 Jan 1, 2025 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) Corporate Officer (100%) |
Jul 1, 2016 Apr 13, 2022 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) Corporate Officer (100%) |
Jul 1, 2016 Apr 13, 2022 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) | Aug 21, 2023 |
| Integrity Urgent Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (51%) | Nov 1, 2022 |
| DCS Medical PA | 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.
-
- Rural Health Clinic/Center
- Marshall, TX
- NPI 1003642208
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Bonham, TX
- NPI 1063138741
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Corsicana, TX
- NPI 1124762646
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Athens, TX
- NPI 1215671748
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Gatesville, TX
- NPI 1265396345
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Decatur, TX
- NPI 1518793728
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Hearne, TX
- NPI 1598583361
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Copperas Cove, TX
- NPI 1619703824
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Quinlan, TX
- NPI 1659194058
5% Or Greater Direct Ownership Interest, Corporate Officer
-
- Rural Health Clinic/Center
- Brenham, TX
- NPI 1700560984
5% Or Greater Direct Ownership Interest, Corporate Officer
-
- Rural Health Clinic/Center
- Palestine, TX
- NPI 1740178144
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Stephenville, TX
- NPI 1801644018
5% Or Greater Direct Ownership Interest, Corporate Officer
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
Emergency Medicine, TX
-
- Emergency Medical Services (Emergency Medicine) Physician
- Waco, TX
- NPI 1417101171
Emergency Medicine
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
Emergency Medicine
-
- Rural Health Clinic/Center
- Bonham, TX
- NPI 1063138741
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265615231
Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.