Organization Active NPI

Texoma Foot and Ankle Specialists PA

  • Foot & Ankle Surgery Podiatrist
  • Denison, TX
National Provider Identifier
1316115009
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1782 Issued in TX
Legal business name
TEXOMA FOOT AND ANKLE SPECIALISTS PA
Practice address
101 N US Highway 75
Denison, TX 75020-1544
Phone
(903) 463-1000
Fax
(903) 463-7711
NPI assigned
Feb 14, 2008
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Matthew W Jackman, DPMNPI 1386619716
Title
Owner
Phone
(903) 463-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1782 TX Primary

Addresses

Primary practice location

101 N US Highway 75
Denison, TX 75020-1544

Mailing address

101 N US Highway 75
Denison, TX 75020-1544
Phone (903) 463-1000

National Provider Directory

National Provider Directory

Locations

1400 Bryan Dr
#304A
Durant, OK 74701
Phone (903) 463-1000

1400 Bryan Dr
Ste 210
Durant, OK 74701
Phone (580) 740-0736

Practitioners & affiliated clinicians

Practitioners 1

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": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1316115009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201544",
            "telephone_number": "903-463-1000",
            "fax_number": "903-463-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201544",
            "telephone_number": "903-463-1000",
            "fax_number": "903-463-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA FOOT AND ANKLE SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-463-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.