Firm Foundations Healthcare Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FIRM FOUNDATIONS HEALTHCARE CLINIC PC

Practice address

2708 Jefferson Dr Ste a
Liberty, TX 77575-1036

Phone

(936) 334-8800

Fax

(936) 334-8801

NPI assigned

Oct 23, 2008

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Janel Smith

Title

Co-Owner

Phone

(936) 334-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Firm Foundations Healthcare Clinic PC

  • Rural Health Clinic/Center
  • Liberty, TX
  • NPI 1437991973

  1052475217

  Same PAC ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Kyle Smith, PA-C

  • Family Medicine Physician
  • Liberty, TX
  • NPI 1265690309
  Medicare reassignment Care Compare group NPD
• Mary Elizabeth Poston, PA-C

  • Medical Physician Assistant
  • Liberty, TX
  • NPI 1205170156
  Medicare reassignment Care Compare group
• Grayson Stockwell, FNP-C

  • Family Nurse Practitioner
  • Dayton, TX
  • NPI 1861369068
  Medicare reassignment Care Compare group
• William S Burkes, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Beaumont, TX
  • NPI 1609879378
  Medicare reassignment NPD
• Raymond J Luna, MD

  • Adult Medicine Physician
  • Livingston, TX
  • NPI 1740280692
  Medicare reassignment NPD

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1447403399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 JEFFERSON DR STE A",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775751036",
            "telephone_number": "936-334-8800",
            "fax_number": "936-334-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 JEFFERSON DR STE A",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775751036",
            "telephone_number": "936-334-8800",
            "fax_number": "936-334-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRM FOUNDATIONS HEALTHCARE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JANEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "936-334-8800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0A0340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Christian Care Service
• Faresh Mehta, O.D., P.a.
• Britney Ferguson
• Letha Ferguson, FNPC
• Firm Foundations Healthcare Clinic PC
• Michael Fortune
• Lessie Frank, LVN
• Tiffany Binata Gaston, LCSW
• Jennifer Marcell Giles
• Jenny Glenn

• Family Medicine Physician in Liberty, TX
• Providers in Liberty, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.