Athens Foot and Ankle Health and Surgery, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1533P Issued in TX

Legal business name

ATHENS FOOT AND ANKLE HEALTH AND SURGERY, PC

Practice address

1123 S Palestine St
Suite 200
Athens, TX 75751-3646

Phone

(903) 675-1337

Fax

(903) 675-4351

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Matthew Allen, D.P.M.NPI 1013957232

Title

Podiatrist

Phone

(903) 675-1337

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Athens Foot and Ankle Health and Surgery PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Athens Foot and Ankle Health and Surgery, PC

  • Foot & Ankle Surgery Podiatrist
  • Athens, TX
  • NPI 1427226711
  NPD tax ID
• Athens Foot and Ankle Health and Surgery, PC

  • Foot & Ankle Surgery Podiatrist
  • Athens, TX
  • NPI 1790813541
  NPD tax ID

Practitioners 1

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

• David Matthew Allen, D.P.M.

  • Podiatrist
  • Athens, TX
  • NPI 1013957232
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124155957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 S PALESTINE ST",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513646",
            "telephone_number": "903-675-1337",
            "fax_number": "903-675-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 S PALESTINE ST",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513646",
            "telephone_number": "903-675-1337",
            "fax_number": "903-675-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS FOOT AND ANKLE HEALTH AND SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "903-675-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1533P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0067GR",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5370860001",
            "identifier": "DME",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Athens, TX
• Providers in Athens, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.