Organization Active NPI

Suzanne Jenkins DPM

Doing business as Hill County Foot & Ankle Specialist

  • Podiatrist
  • Hillsboro, TX
National Provider Identifier
1023031374
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1774 Issued in TX
Legal business name
SUZANNE JENKINS DPM
Doing business as
Hill County Foot & Ankle Specialist
Practice address
904 Corsicana Hwy
Hillsboro, TX 76645-2928
Phone
(254) 582-9300
Fax
(254) 582-9302
NPI assigned
Jul 26, 2006
Organization subpart
Yes
Parent organization
SUZANNE JENKINS DPMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Suzanne Rene Jenkins, DPMNPI 1033153796
Title
Owner
Phone
(245) 582-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1774 TX Primary

Addresses

Primary practice location

904 Corsicana Hwy
Hillsboro, TX 76645-2928

Mailing address

904 Corsicana Hwy
Hillsboro, TX 76645-2928
Phone (254) 582-9300

Other identifiers 2

IdentifierTypeStateIssuer
186391201MedicaidTX
0089NXOtherTXBCBS

Other names 1

  • HILL COUNTY FOOT & ANKLE SPECIALIST Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070524000142 TX Part B Supplier - Clinic/Group Practice 9335246487 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsboro, TX
O20100930019266 TX DME Supplier - Physician - Podiatry 9335246487 Practice locations: Hillsboro, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2104150Hill County Foot & Ankle904 Corsicana Highway, Hillsboro, TX 76645Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory
Part of
Suzanne Jenkins DPM

Locations

123 E Elm St
#A
Hillsboro, TX 76645

123A E Elm St
Hillsboro, TX 76645
Phone (254) 582-9300

904 Corsicana Hwy
Hillsboro, TX 76645
Phone (254) 582-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1023031374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CORSICANA HWY",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452928",
            "telephone_number": "254-582-9300",
            "fax_number": "254-582-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CORSICANA HWY",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452928",
            "telephone_number": "254-582-9300",
            "fax_number": "254-582-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE JENKINS DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUZANNE JENKINS DPM",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "245-582-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186391201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0089NX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILL COUNTY FOOT & ANKLE SPECIALIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.