Organization Active NPI

Paul C. Pearson, DPM, PA

  • Podiatrist
  • Amarillo, TX
National Provider Identifier
1376700617
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1389 Issued in TX
Legal business name
PAUL C. PEARSON, DPM, PA
Practice address
7305 Wallace Blvd Ste a
Amarillo, TX 79106-1815
Phone
(806) 356-0151
Fax
(806) 457-1656
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Stephanie Pearson
Title
Manager
Phone
(806) 356-0151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1389 TX Primary

Addresses

Primary practice location

7305 Wallace Blvd Ste a
Amarillo, TX 79106-1815

Mailing address

7305 Wallace Blvd Ste a
Amarillo, TX 79106-1815
Phone (806) 356-0151

Other identifiers 1

IdentifierTypeStateIssuer
092747701MedicaidTX

National Provider Directory

National Provider Directory

Locations

7305 Wallace Blvd
Ste A
Amarillo, TX 79106
Phone (806) 351-2500

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1376700617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 WALLACE BLVD STE A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061815",
            "telephone_number": "806-356-0151",
            "fax_number": "806-457-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 WALLACE BLVD STE A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061815",
            "telephone_number": "806-356-0151",
            "fax_number": "806-457-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C. PEARSON, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-356-0151"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092747701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.