NPIMap

Organization Active NPI

Palo Pinto County Hospital District

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
National Provider Identifier
1366400582
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00265K Issued in TX
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Practice address
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone
(940) 328-6547
Fax
(940) 328-6541
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ross Korkmas
Title
Ceo
Phone
(940) 325-7891

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 00265K TX Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

400 SW 25TH Ave
Mineral Wells, TX 76067-8246

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Other practice location 1

202 SW 25th Ave Ste 700
Mineral Wells, TX 76067-8459
Phone (940) 463-7233

Other practice location 2

400 SW 25th Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Other practice location 3

202 SW 25th Ave Ste 700
Mineral Wells, TX 76067-8459
Phone (940) 328-7588

Other practice location 4

202 SW 25th Ave Ste 1200
Mineral Wells, TX 76067-8461
Phone (940) 463-7229

Other practice location 5

202 SW 25th Ave Ste 1300
Mineral Wells, TX 76067-8462
Phone (940) 328-7507

Other identifiers 3

IdentifierTypeStateIssuer
138950417MedicaidTX
CC2933OtherTXMEDICARE RAILROAD
CD2070OtherTXMEDICARE RAILROAD

Other names 8

  • PALO PINTO GENERAL HOSPITAL PULMONOLOGY Doing business as
  • PALO PINTO INTERVENTIONAL PAIN MANAGEMENT Doing business as
  • PALO PINTO ORTHOPAEDICS & SPORTS MEDICINE Doing business as
  • PALO PINTO UROLOGY Doing business as
  • PPGH CARDIOOLOGY GROUP Doing business as
  • PPGH SPECIALTY GROUP Doing business as
  • Palo Pinto General Hospital Doing business as
  • Palo Pinto General Hospital - Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000393 TX Part B Supplier - Clinic/Group Practice 5890602759 Receives reassigned benefits from 84 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mineral Wells, TX; Santo, TX; Graford, TX; Gordon, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Palo Pinto Hospital District Community Clinic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

320 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 328-6580

Practitioners & affiliated clinicians

Practitioners 86

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

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1366400582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-325-7891",
            "fax_number": "940-328-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-6547",
            "fax_number": "940-328-6541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 SW 25th Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678459",
            "country_code": "US",
            "telephone_number": "940-463-7233",
            "fax_number": "940-463-7236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 SW 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678246",
            "country_code": "US",
            "telephone_number": "940-325-7891",
            "fax_number": "940-328-6523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 SW 25th Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678459",
            "country_code": "US",
            "telephone_number": "940-328-7588",
            "fax_number": "940-328-7589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 SW 25th Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678461",
            "country_code": "US",
            "telephone_number": "940-463-7229",
            "fax_number": "940-463-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 SW 25th Ave Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678462",
            "country_code": "US",
            "telephone_number": "940-328-7507",
            "fax_number": "940-328-6535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALO PINTO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "KORKMAS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-325-7891"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "00265K",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138950417",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC2933",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD2070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALO PINTO GENERAL HOSPITAL PULMONOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO INTERVENTIONAL PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO ORTHOPAEDICS & SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO UROLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PPGH CARDIOOLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PPGH SPECIALTY GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Pinto General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Pinto General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Pinto General Hospital - Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.