Athena Todd, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2869 Issued in OK

Practice address

3126 W FM 120
Denison, TX 75020-1249

Phone

(903) 416-7544

Fax

(903) 416-7545

NPI assigned

Dec 18, 2017

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians

Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ies ER Oklahoma LLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1447148093
  Medicare reassignment Care Compare group NPD
• Ies Central Texas PLLC

  • Emergency Medicine Physician
  • Hillsboro, TX
  • NPI 1003523002
  Medicare reassignment Care Compare group
• Level One Emergency Physicians LLC

  • Emergency Medicine Physician
  • Denison, TX
  • NPI 1528790193
  Medicare reassignment
• WH Services Dallas LLC

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1164112264
  Medicare reassignment
• Texomacare

  • Family Medicine Physician
  • Madill, OK
  • NPI 1407800857
  Medicare reassignment

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1811403553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75",
            "address_2": "SUITE 300, ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 W FM 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201249",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 N Josey Ln",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104635",
            "country_code": "US",
            "telephone_number": "972-394-9478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1807 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013011",
            "country_code": "US",
            "telephone_number": "580-920-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4616 US Hwy 75 Ste 203",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "75020",
            "country_code": "US",
            "telephone_number": "903-416-6460",
            "fax_number": "903-416-6461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750769039",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750769039",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4616 US Hwy 75 Ste 203",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "75020",
            "country_code": "US",
            "telephone_number": "903-416-6460",
            "fax_number": "903-416-6461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750769039",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3126 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201249",
            "country_code": "US",
            "telephone_number": "903-416-7544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "ATHENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2869",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey L Thornton, M.D.
• Don Thorpe III, DC
• Tidemark Therapy PLLC (Brittainy A. Wagner, LPC)
• TLC Exceptional Services, Inc.
• TLC Professional Care LLC
• George Tompkins III, PA-C
• Luis D Torres, M. D.
• Tung Thomas Tran, M.D.
• Tri-County Senior Nutrition Project, Inc. (Meals on Wheels of Texoma)
• Trotter Social Services (Serenity Therapy)

• Physician Assistant in Denison, TX
• Providers in Denison, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.