Individual provider Active NPI

Edwin L. Ferren

  • Orthopaedic Surgery Physician
  • Nacogdoches, TX
National Provider Identifier
1366447419
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G5038 Issued in TX
Practice address
3816 N University Dr
Nacogdoches, TX 75965-2011
Phone
(936) 560-2990
Fax
(936) 560-3609
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G5038 TX Primary

Addresses

Primary practice location

3816 N University Dr
Nacogdoches, TX 75965-2011

Mailing address

3816 N University Dr
Nacogdoches, TX 75965-2011
Phone (936) 560-2990

Other practice location 1

3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500

Other identifiers 2

IdentifierTypeStateIssuer
123075704MedicaidTX
2222690OtherTXBLUE LINK

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
I20120104000152 TX Practitioner - Orthopedic Surgery 3678696333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Duke University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

4800 N E Stallings
Nacogdoches, TX 75965-1249
Phone (936) 800-1700

Merit-based Incentive Payment System (MIPS)

Final score
53.49 of 100Reported as group
Quality
45.59
Promoting interoperability
0
Improvement activities
40
Cost
77.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Aug 1, 2024 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Texas Oncology PA CurrentSince Aug 1, 2024 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3816 N University Dr
Nacogdoches, TX 75965
Phone (936) 305-5301

4800 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 305-5102

3414 Golden Rd
Tyler, TX 75701
Phone (903) 590-3050

Interoperability endpoints

  • Direct secure messaging: edwin.ferren.1@15533.direct.athenahealth.com
  • Direct secure messaging: edwin.ferren.1@9685.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1366447419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652011",
            "telephone_number": "936-560-2990",
            "fax_number": "936-560-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652011",
            "telephone_number": "936-560-2990",
            "fax_number": "936-560-3609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3414 Golden Rd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018336",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREN",
        "first_name": "EDWIN",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G5038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123075704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "2222690",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.