Individual provider Active NPI

Henry C Warren, DPM

  • Podiatrist
  • Lufkin, TX
National Provider Identifier
1447397484
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1590 Issued in TX
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

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
151321001MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000615 TX Practitioner - Podiatry 7719065622 Reassigns benefits to 2 organizations

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
East Texas Foot AssociatesGroup PAC ID 3870670953, 7 clinicians
Angelina Wound Center, LLCGroup PAC ID 6709308752, 5 clinicians

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 Hospital, Lufkin, TX, CCN 450484
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Crockett Medical Center Hospital, Crockett, TX, CCN 451393

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue350
Removal of nail tissue501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1590TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Wound Center, LLC CurrentSince Feb 9, 2025 Accepting new patients
East Texas Foot Associates Podiatrist CurrentSince Jun 20, 2002 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.