Individual provider Active NPI

Stephen F Lummus, PA-C

  • Physician Assistant
  • Longview, TX
National Provider Identifier
1255528006
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05476 Issued in TX
Practice address
701 N 6TH St
Longview, TX 75601-6608
Phone
(903) 315-5250
Fax
(903) 663-6371
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05476 TX Primary

Addresses

Primary practice location

701 N 6TH St
Longview, TX 75601-6608

Mailing address

4708 Alliance Blvd
Suite 810
Plano, TX 75093-5340
Phone (972) 985-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000407 TX Practitioner - Physician Assistant 8123109238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05476TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Aug 15, 2024 Accepting new patients
DCS Medical PA CurrentSince Aug 15, 2024 Accepting new patients
DCS Medical PA Past Accepting new patients
GS Physician Services Past Accepting new patients
Mrs Neurosurgical Clinic Past Accepting new patients

Locations

371 Mercedes St
Benbrook, TX 76126
Phone (817) 448-8114

2140 N State Highway 121
Bonham, TX 75418
Phone (430) 703-1550

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

3010 E Business 190
Ste 254
Copperas Cove, TX 76522
Phone (254) 577-5642

607 E Malloy Bridge Rd
Seagoville, TX 75159
Phone (469) 908-5018

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1255528006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 810",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "972-985-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016608",
            "telephone_number": "903-315-5250",
            "fax_number": "903-663-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMMUS",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.