Active NPI
Henry C Warren, DPM
- Podiatrist
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1590
- Practice address
- 200 S. John Redditt Dr.
Lufkin, TX 75904 - Phone
- (936) 632-5252
- Fax
- (936) 632-5284
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1590 | TX | Primary |
Addresses
Primary practice location
200 S. John Redditt Dr.
Lufkin, TX 75904
Mailing address
200 S. John Redditt Dr.
Lufkin, TX 75904
Phone (936) 632-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151321001 | Medicaid | TX |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Westside Medical Blvd
Lufkin, TX 75904-3207
Phone (936) 632-5252
200 S John Redditt Dr
Lufkin, TX 75904-3112
Phone (936) 632-5252
210 W Park
Suite 100
Livingston, TX 77351-8337
Phone (936) 632-5252
Hospital & facility affiliations
- Woodland Heights Medical Center
- CHI St Lukes Health Memorial Lufkin
- Crockett Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 350 |
| Removal of nail tissue | 501 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1590 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelina Wound Center, LLC | Current | Accepting new patients | |
| East Texas Foot Associates | Podiatrist | Current | Accepting new patients |
Locations
1122 E Loop 304
Crockett, TX 75835
Phone (936) 544-2157
210 W Park
Ste 100
Livingston, TX 77352
Phone (281) 501-5652
200 S John Redditt Dr
Lufkin, TX 75904
Phone (409) 639-1110
101 Westside Medical Blvd
Lufkin, TX 75904
Interoperability endpoints
- hwarren@etfa-tx.direct.office.nextgen.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 and National Provider Directory roles.
-
- Clinic/Center
- Lufkin, TX
- NPI 1235947599
-
- Podiatrist
- Lufkin, TX
- NPI 1114086659
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
- Critical Access Hospital
- Crockett, TX
- NPI 1114435260
-
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1447397484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S. JOHN REDDITT DR.",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75904",
"telephone_number": "936-632-5252",
"fax_number": "936-632-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S. JOHN REDDITT DR.",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75904",
"telephone_number": "936-632-5252",
"fax_number": "936-632-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "HENRY",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151321001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.