NPIMap

Organization Active NPI

Hope D Short MD PA

Doing business as Oak Hills Family Practice

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1285738609
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOPE D SHORT MD PA
Doing business as
Oak Hills Family Practice
Practice address
2756 Elkton TRL
Tyler, TX 75703-0723
Phone
(903) 534-0911
Fax
(903) 534-8882
NPI assigned
Sep 8, 2006
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Pam S Hunt
Title
Office Manager
Phone
(903) 534-0911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X TX

Addresses

Primary practice location

2756 Elkton TRL
Tyler, TX 75703-0723

Mailing address

2756 Elkton TRL
Tyler, TX 75703-0723
Phone (903) 534-0911

Other practice location 1

2756 Elkton Trail
Tyler, TX 75703-0723
Phone (903) 534-0911

Other names 1

  • Oak Hills Family Practice Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1063805Hope Short MD, PA2756 Elkton Trail, Tyler, TX 75703Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Locations

2756 Elkton Trl
Tyler, TX 75703
Phone (903) 534-0911

5040 Kinsey Dr
Tyler, TX 75703

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1285738609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 ELKTON TRL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030723",
            "telephone_number": "903-534-0911",
            "fax_number": "903-534-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 ELKTON TRL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030723",
            "telephone_number": "903-534-0911",
            "fax_number": "903-534-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2756 Elkton Trail",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757030723",
            "country_code": "US",
            "telephone_number": "903-534-0911",
            "fax_number": "903-534-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE D SHORT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-534-0911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Hills Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Hills Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.