Organization Active NPI

Douglas Guthrie Jr DPM

  • Podiatric Clinic/Center
  • Mexia, TX
National Provider Identifier
1457535908
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
00194 Issued in TX
Legal business name
DOUGLAS GUTHRIE JR DPM
Practice address
514 S Bonham St
Suite B
Mexia, TX 76667-3600
Phone
(254) 562-7999
NPI assigned
Dec 19, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Douglas Guthrie Jr., DPM
Title
Owner
Phone
(254) 562-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 00194 TX Primary

Addresses

Primary practice location

514 S Bonham St
Suite B
Mexia, TX 76667-3600

Mailing address

3200 Creekwood Cir
Waco, TX 76710-1350
Phone (254) 562-7999

Other identifiers 1

IdentifierTypeStateIssuer
00F140OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1457535908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CREEKWOOD CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101350",
            "telephone_number": "254-562-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BONHAM ST",
            "address_2": "SUITE B",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673600",
            "telephone_number": "254-562-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS GUTHRIE JR DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-562-7999",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "00194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00F140",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.