Wortham Medical Center P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L1600 Issued in TX

Legal business name

WORTHAM MEDICAL CENTER P A

Practice address

618 S 3Rd Street
Wortham, TX 76693

Phone

(254) 765-3340

Fax

(254) 765-3820

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sharon Kay Hale, D.O.NPI 1538114897

Title

Owner

Phone

(254) 765-3340

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Sharon Kay Hale, D.O.

  • Family Medicine Physician
  • Wortham, TX
  • NPI 1538114897

  TX

  Medicare reassignment Authorized official
• Gordon Kenneth Lee, P.A.

  • Physician Assistant
  • Groesbeck, TX
  • NPI 1578561684
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1740221985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "WORTHAM",
            "state": "TX",
            "postal_code": "766930276",
            "telephone_number": "254-765-3340",
            "fax_number": "254-765-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S 3RD STREET",
            "city": "WORTHAM",
            "state": "TX",
            "postal_code": "76693",
            "telephone_number": "254-765-3340",
            "fax_number": "254-765-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHAM MEDICAL CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-765-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0046NT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hevin'S Place Homecare Agency LLC
• Mary Elizabeth Keathley
• Leighton Garrett Patrick
• Wortham I Enterprises, LLC
• Wortham Independent School District

• All providers in Wortham, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.