Organization Active NPI

Edwin L. Ferren, M.D. PA

  • Orthopaedic Surgery Physician
  • Nacogdoches, TX
National Provider Identifier
1811216120
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G5038 Issued in TX
Legal business name
EDWIN L. FERREN, M.D. PA
Practice address
1023 N Mound St
Suite E
Nacogdoches, TX 75961-4491
Phone
(936) 564-2401
Fax
(936) 560-0295
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Edwin L Ferren, M.D.
Title
President
Phone
(936) 564-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G5038 TX Primary

Addresses

Primary practice location

1023 N Mound St
Suite E
Nacogdoches, TX 75961-4491

Mailing address

PO Box 631068
Nacogdoches, TX 75963-1068
Phone (936) 564-2401

Other identifiers 1

IdentifierTypeStateIssuer
123075704MedicaidTX

National Provider Directory

National Provider Directory

Locations

1023 N Mound St
Ste E
Nacogdoches, TX 75961
Phone (936) 305-4130

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14424/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1811216120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631068",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631068",
            "telephone_number": "936-564-2401",
            "fax_number": "936-560-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST",
            "address_2": "SUITE E",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614491",
            "telephone_number": "936-564-2401",
            "fax_number": "936-560-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN L. FERREN, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "FERREN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-564-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G5038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123075704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.