Individual provider Active NPI

Edward A Sharrer, DPM

  • Podiatrist
  • Lufkin, TX
National Provider Identifier
1891789301
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1791 Issued in TX
Practice address
200 S John Redditt Dr.
Lufkin, TX 75904
Phone
(936) 632-5252
Fax
(936) 632-5284
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 125 WY
Podiatrist 213E00000X 1791 TX Primary

Addresses

Primary practice location

200 S John Redditt Dr.
Lufkin, TX 75904

Mailing address

200 S John Redditt Dr.
Lufkin, TX 75904
Phone (936) 632-5252

Other identifiers 3

IdentifierTypeStateIssuer
312912OtherWYBLUE CROSS
193055401MedicaidTX
120114000MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020002768 AR Practitioner - Podiatry 4880594746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 Crestwood Rd
Suite 101
North Little Rock, AR 72116-7615
Phone (501) 771-4785

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue143
Removal of skin lesions149
Removal of nail tissue471
Removal or shaving of skin growth188
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125WYMDPodiatrist
288ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward a Sharrer DPM PLLC Podiatrist CurrentSince Dec 22, 2021 Accepting new patients
Gentle Footcare LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Gentle Footcare LLC Podiatrist Past Accepting new patients

Locations

2501 Crestwood Rd
Ste 101
North Little Rock, AR 72116
Phone (501) 771-4785

Interoperability endpoints

  • Direct secure messaging: esharrer@etfa-tx.direct.office.nextgen.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1891789301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S JOHN REDDITT DR.",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-5252",
            "fax_number": "936-632-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S JOHN REDDITT DR.",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-5252",
            "fax_number": "936-632-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARRER",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WY",
            "license": "125",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "312912",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193055401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120114000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.