Active NPI
Paul C. Pearson, DPM, PA
- Podiatrist
- Amarillo, TX
National Provider Identifier
1376700617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1389
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092747701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.