Saul Harris Pennington, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA12101 Issued in TX

Practice address

821 N Broadway St
Aspermont, TX 79502-2029

Phone

(940) 989-3551

NPI assigned

Jul 5, 2018

Last updated

Dec 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Stonewall Memorial Hospital

  • Critical Access Hospital
  • Aspermont, TX
  • NPI 1083612121
  Medicare reassignment NPD
• Communitymed PCP

  dba CommunityMed Family Care

  • Primary Care Clinic/Center
  • Melissa, TX
  • NPI 1063818219
  Medicare reassignment
• Communitymed PLLC

  • Urgent Care Clinic/Center
  • Melissa, TX
  • NPI 1821417072
  Medicare reassignment
• El Dorado Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1154799328
  Medicare reassignment
• Synergy Emergency Consultants, PLLC

  • General Practice Physician
  • Lewisville, TX
  • NPI 1215440508
  Medicare reassignment
• Woodbridge Physicians Staffing Group, PLLC

  • Emergency Care Clinic/Center
  • Frisco, TX
  • NPI 1750777322
  Medicare reassignment
• Stonewall Memorial Hospital

  dba Stonewall Memorial Hospital EMS

  • Land Ambulance
  • Aspermont, TX
  • NPI 1407624323
  NPD
• Chisholm Trail Emergency Center

  dba iCare Emergency Room

  • Emergency Care Clinic/Center
  • Fort Worth, TX
  • NPI 1396280756
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1891281648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795020802",
            "telephone_number": "940-989-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N BROADWAY ST",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795022029",
            "telephone_number": "940-989-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "SAUL",
        "middle_name": "HARRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee A Hagins, R.PH.
• Belinda Jo Hecht, MED LPC
• Walter L Johnson, MD
• Theresa Odom, APRN
• Frederic K. Passmann, MD
• Whitney Shumaker
• Marsha Smith, FNP-C
• Stonewall County Ambulance Service
• Stonewall County Hospital District (Stonewall Living Center)
• Stonewall Memorial Hospital

• Medical Physician Assistant in Aspermont, TX
• Providers in Aspermont, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.