Fannin County Hospital Autority
Organization Active NPI Foot & Ankle Surgery Podiatrist · Paris, TX
NPI 1215438601 · NPPES record last updated Feb 22, 2018
Key facts
- NPI
- 1215438601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- FANNIN COUNTY HOSPITAL AUTORITY
- Practice address
- 580 Deshong Dr
Paris, TX 75460-9318 - Phone
- (903) 706-5035
- Fax
- (903) 706-5036
- NPI assigned
- Feb 22, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- FANNIN COUNTY HOSPITAL AUTHORITY
Authorized official
- Name
- Tiffany Camp
- Title
- Director, Quality
- Phone
- (903) 640-7301
Other NPIs on the same Medicare enrollment 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130923000100 | TX | Part B Supplier - Clinic/Group Practice | 6002054764 |
Receives reassigned benefits from 4 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bonham, TX; Van Alstyne, TX |
National Provider Directory
- Part of
- Fannin Cnty Hosp Authority
Locations
580 Deshong Dr
Paris, TX 75460
Phone (903) 706-5035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | TX | Yes |
Addresses
Primary practice location
580 Deshong Dr
Paris, TX 75460-9318
Mailing address
504 Lipscomb St
Bonham, TX 75418-4028
Phone (903) 583-8585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Other | NONE |
Other names
- PARIS TOTAL FOOT CARE
Other providers in Paris, TX
- Debra Leeann Evans
- Mark Robert Falkenstine
- Lawrence Churng-Shyuh Fan
- Fannin County Hospital Authority
- Fannin County Hospital Authority
- Fasciamedica Prompta, PLLC
- Syeda Simrah Fatima
- Madelyn Kay Faucett
- Robert Feldman
- Mark Charles Ferris
All providers in Paris, TX · Foot & Ankle Surgery Podiatrist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.