Advanced Foot & Ankle Center of Texarkana, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1134 Issued in TX

Legal business name

ADVANCED FOOT & ANKLE CENTER OF TEXARKANA, P.A.

Practice address

5606 Summerhill Rd
Texarkana, TX 75503-1819

Phone

(903) 791-1222

Fax

(903) 791-8310

NPI assigned

May 4, 2007

Last updated

Oct 22, 2014By 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

Philip John Hahn Jr., DPMNPI 1568485787

Title

Doctor

Phone

(903) 791-1222

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, AR3 enrollments

Enrollment records 3

Locations

Practitioners 5

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.

• Philip John Hahn Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Texarkana, TX
  • NPI 1568485787

  AR

  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin L Clair, DPM

  • Foot & Ankle Surgery Podiatrist
  • Frisco, TX
  • NPI 1588839534

  Sports Medicine

  Medicare reassignment Care Compare group NPD
• Zachary Dylan Lamkin, DPM

  • Foot Surgery Podiatrist
  • Texarkana, TX
  • NPI 1538643697
  Medicare reassignment Care Compare group NPD
• Chad Howze, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
  • NPI 1295112738

  AR, Single Specialty

  Medicare reassignment NPD
• Ranya Barri

  • Podiatrist
  • Texarkana, TX
  • NPI 1962922666

  AR

  Medicare reassignment

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1114139730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 RICHMOND RD # 62",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032123",
            "telephone_number": "903-791-1222",
            "fax_number": "903-791-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031819",
            "telephone_number": "903-791-1222",
            "fax_number": "903-791-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT & ANKLE CENTER OF TEXARKANA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "903-791-1222",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018709801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128263717",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR8730",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Adams, PTA
• Sarah Marie Adams
• Mark R Addington, DDS
• Brita Ade
• Advanced Cardiology of Texarkana PA (Douglas Scott Black, MD)
• Advanced Pulmonary & Sleep Solutions, P.a.
• Advantage Senior Care, LLC
• Affordable Dentures & Implants - Texas Xiii, PLLC (Affordable Dentures & Implants - Texarkana)
• Ahm Action Home Health, LP (Enhabit Home Health)
• Muazer Ahmed, M.D

• Foot & Ankle Surgery Podiatrist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.