Individual provider Active NPI

Carlos Lee Flores, P.A.

  • Surgical Physician Assistant
  • Amarillo, TX
National Provider Identifier
1851614010
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA06545 Issued in TX
Practice address
7000 W 9TH Ave
Amarillo, TX 79106-1709
Phone
(806) 350-2663
Fax
(806) 350-2665
NPI assigned
Mar 2, 2010
Last updated
May 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA06545 TX Primary

Addresses

Primary practice location

7000 W 9TH Ave
Amarillo, TX 79106-1709

Mailing address

7000 W 9TH Ave
Amarillo, TX 79106-1709
Phone (806) 350-2663

Other identifiers 1

IdentifierTypeStateIssuer
818N86OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000342 TX Practitioner - Physician Assistant 1355479049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James R Parker M.D.Group PAC ID 1850307489, 4 clinicians

Practice addresses (Care Compare)

7000 SW
9TH
Amarillo, TX 79106-1709

7000 SW 9TH Ave
Amarillo, TX 79106-1709
Phone (806) 350-2668

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Bradley Dosher PLLC PastSince Jun 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cflores84539@ahs.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1851614010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061709",
            "telephone_number": "806-350-2663",
            "fax_number": "806-350-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061709",
            "telephone_number": "806-350-2663",
            "fax_number": "806-350-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "CARLOS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA06545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "818N86",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.