Angela C Whitton, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03751 Issued in TX

Practice address

1108 S Buffalo St
Canton, TX 75103-2304

Phone

(903) 567-1910

Fax

(903) 567-1497

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dailey Medical ClinicGroup PAC ID 5991858243, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Veteran Home Care Home health agency, Canton, TX, CCN 747828
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dailey Medical Clinic

  • Family Medicine Physician
  • Canton, TX
  • NPI 1619105442
  Medicare reassignment Care Compare group
• Dailey Medical Clinic

  • Family Medicine Physician
  • Canton, TX
  • NPI 1609818053
  NPD (past)

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

• Health at Home Inc

  • Home Health Agency
  • Van, TX
  • NPI 1871867846
  Care Compare affiliation
• Health at Home Services Inc

  • Home Health Agency
  • Canton, TX
  • NPI 1922359728
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1467564492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751030788",
            "telephone_number": "903-567-1910",
            "fax_number": "903-567-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S BUFFALO ST",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751032304",
            "telephone_number": "903-567-1910",
            "fax_number": "903-567-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTON",
        "first_name": "ANGELA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206647401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LP
• Walgreen Co
• Regan Cale Waters, FNP
• Deanne Wheeler, H. I. S.
• McKenna Wiggins, LPC
• Erin Ann Williams
• Mary Katherine Williams, NP
• Melissa Williams, NP
• Georgia Ann Womble, PA-C

• Medical Physician Assistant in Canton, TX
• Providers in Canton, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.

Verify at the official NPI Registry.