NPIMap

Organization Active NPI

Fannin County Hospital Autority

Doing business as Paris Total Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Paris, TX
National Provider Identifier
1215438601
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FANNIN COUNTY HOSPITAL AUTORITY
Doing business as
Paris Total Foot Care
Practice address
580 Deshong Dr
Paris, TX 75460-9318
Phone
(903) 706-5035
Fax
(903) 706-5036
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FANNIN COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Tiffany Camp
Title
Director, Quality
Phone
(903) 640-7301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X TX Primary

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 names 1

  • PARIS TOTAL FOOT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Fannin Cnty Hosp Authority

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1215438601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LIPSCOMB ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184028",
            "telephone_number": "903-583-8585",
            "fax_number": "903-640-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 DESHONG DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609318",
            "telephone_number": "903-706-5035",
            "fax_number": "903-706-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "DIRECTOR, QUALITY",
        "authorized_official_telephone_number": "903-640-7301"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARIS TOTAL FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.