East Texas Foot Associates

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0540 Issued in TX

Legal business name

EAST TEXAS FOOT ASSOCIATES

Practice address

200 S. John Redditt Dr.
Lufkin, TX 75904

Phone

(936) 632-5252

Fax

(936) 632-5284

NPI assigned

Dec 8, 2006

Last updated

Nov 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eddy Gene CorseNPI 1265893499

Title

DPM

Phone

(936) 632-5252

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eddy Gene Corse, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Lufkin, TX
  • NPI 1265893499
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew David Daugherty, DPM

  • Podiatrist
  • Nacogdoches, TX
  • NPI 1245510932
  Medicare reassignment Care Compare group NPD
• Jason Carroll Reel, DPM

  • Podiatrist
  • Lufkin, TX
  • NPI 1588607360
  Medicare reassignment Care Compare group NPD
• Kayla Richelle Robinson, DPM

  • Podiatrist
  • Lufkin, TX
  • NPI 1598386005

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Shayla Robinson, DPM

  • Podiatrist
  • Lufkin, TX
  • NPI 1063019917
  Medicare reassignment Care Compare group NPD
• Mark Ephrom Sowell, DPM

  • Primary Podiatric Medicine Podiatrist
  • Nacogdoches, TX
  • NPI 1679517528
  Medicare reassignment Care Compare group NPD
• Henry C Warren, DPM

  • Podiatrist
  • Lufkin, TX
  • NPI 1447397484
  Medicare reassignment Care Compare group NPD
• Kyle Leann Inman, RN

  • Administrator Registered Nurse
  • Lufkin, TX
  • NPI 1699240192
  NPD
• Anthony P Noreiga, DPM

  • Podiatrist
  • Lufkin, TX
  • NPI 1952329682
  NPD (past)
• Michael J Sabo, DPM

  • Podiatrist
  • Lufkin, TX
  • NPI 1508903543
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1114086659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-5252",
            "fax_number": "936-632-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. JOHN REDDITT DR.",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-5252",
            "fax_number": "936-632-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS FOOT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "CORSE",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "936-632-5252"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1590",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151320201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14HZ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373459201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas Cancer Alliance of Hope
• East Texas Chest Clinic, P.a.
• East Texas Eye Associates
• East Texas Eye Associates (East Texas Eye Associates Surgery Center)
• East Texas Eye Associates (East Texas Eye Associates Optical Shop)
• East Texas Heart & Vascular Imaging LTD
• East Texas Heart & Vascular Imaging of Lufkin, PA
• East Texas Hematology & Oncology
• East Texas Hematology & Oncology
• East Texas Id Associates PLLC

• Podiatrist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.