Organization Active NPI

Clifton H. Cathcart, D.O., P.a.

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1720204795
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F0412 Issued in TX
Legal business name
CLIFTON H. CATHCART, D.O., P.A.
Practice address
1702 E Denman Ave
Lufkin, TX 75901-6110
Phone
(936) 637-2080
Fax
(936) 637-7917
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Clifton H Cathcart DO
Title
Provider
Phone
(936) 637-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F0412 TX Primary

Addresses

Primary practice location

1702 E Denman Ave
Lufkin, TX 75901-6110

Mailing address

1702 E Denman Ave
Lufkin, TX 75901-6110
Phone (936) 639-1224

Other identifiers 2

IdentifierTypeStateIssuer
00CA20OtherTXBCBS
032423802MedicaidTX

Other names 1

  • Cathcart Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000429 TX Part B Supplier - Clinic/Group Practice 9234397225 Receives reassigned benefits from 3 practitioners
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1720204795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-639-1224",
            "fax_number": "936-637-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-637-2080",
            "fax_number": "936-637-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON H. CATHCART, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "CATHCART DO",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "936-637-2080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00CA20",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032423802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cathcart Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cathcart Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 20, 2020; 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.