Individual provider Active NPI

Hope Daughtrey Short, M.D.

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1346272671
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2886 Issued in TX
Practice address
2756 Elkton TRL
Tyler, TX 75703-0723
Phone
(903) 534-0911
Fax
(903) 534-8882
NPI assigned
Jul 7, 2006
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2886 TX Primary

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 names 1

  • Hope Kathleen Daughtrey Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070109000258 TX Practitioner - Family Practice 0941200323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2886TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope D Short MD PA Family Medicine CurrentSince Nov 1, 2006 Accepting new patients
Physicians Caring for People Family Medicine Past Accepting new patients

Locations

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

5040 Kinsey Dr
Ste 100
Tyler, TX 75703
Phone (903) 534-0911

Interoperability endpoints

  • Direct secure messaging: drshort@shortfamilymedicalgroup.direct.emds.com
  • Direct secure messaging: hshort355643@ahs.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1346272671",
    "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": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "HOPE",
        "middle_name": "DAUGHTREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOPE",
            "last_name": "DAUGHTREY",
            "middle_name": "KATHLEEN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.