Organization Active NPI

Athens Foot and Ankle Health and Surgery, PC

  • Foot & Ankle Surgery Podiatrist
  • Athens, TX
National Provider Identifier
1790813541
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1533P Issued in TX
Legal business name
ATHENS FOOT AND ANKLE HEALTH AND SURGERY, PC
Practice address
1123 S Palestine Street
Suite 200
Athens, TX 75751-3646
Phone
(903) 675-1337
Fax
(903) 675-4351
NPI assigned
Mar 2, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. David Matthew Allen, D.P.M.NPI 1013957232
Title
Doctor
Phone
(903) 675-1337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Athens Foot and Ankle Health and Surgery PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1123 S Palestine St
Ste 200
Athens, TX 75751
Phone (903) 675-1337

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1533P TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1123 S Palestine Street
Suite 200
Athens, TX 75751-3646

Mailing address

1123 S Palestine St
Suite 200
Athens, TX 75751-3646
Phone (903) 675-1337

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0067GROtherTXBCBS PROVIDER NUMBER
1013957232OtherTXTYPE I NPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2008.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1790813541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 S PALESTINE ST",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513646",
            "telephone_number": "903-675-1337",
            "fax_number": "903-675-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 S PALESTINE STREET",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513646",
            "telephone_number": "903-675-1337",
            "fax_number": "903-675-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS FOOT AND ANKLE HEALTH AND SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "903-675-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1533P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0067GR",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1013957232",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.