Organization Active NPI

Bethel Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Amarillo, TX
National Provider Identifier
1265161681
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BETHEL ASSOCIATES LLC
Doing business as
Bethel Medical Center for Foot and Ankle
Practice address
500 Quail Creek Dr Unit a
Amarillo, TX 79124-1637
Phone
(806) 803-0765
Fax
(806) 553-2703
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Christine Joshua, DPMNPI 1003468398
Title
Podiatrist
Phone
(806) 803-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

500 Quail Creek Dr Unit a
Amarillo, TX 79124-1637

Mailing address

500 Quail Creek Dr Unit a
Amarillo, TX 79124-1637
Phone (806) 803-0765

Other names 1

  • Bethel Medical Center for Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220630001525 TX Part B Supplier - Clinic/Group Practice 1254711799 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX
O20221202002366 TX DME Supplier - Physician - Podiatry 1254711799 Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

500 Quail Creek Dr
Unit A
Amarillo, TX 79124
Phone (806) 567-8167

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1265161681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 QUAIL CREEK DR UNIT A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241637",
            "telephone_number": "806-803-0765",
            "fax_number": "806-553-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 QUAIL CREEK DR UNIT A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241637",
            "telephone_number": "806-803-0765",
            "fax_number": "806-553-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "JOSHUA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "806-803-0765",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Medical Center for Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.