Active NPI
Edward A Sharrer, DPM
- Podiatrist
- Lufkin, TX
National Provider Identifier
1891789301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1791
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312912 | Other | WY | BLUE CROSS |
| 193055401 | Medicaid | TX | |
| 120114000 | Medicaid | WY |
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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 143 |
| Removal of skin lesions | 149 |
| Removal of nail tissue | 471 |
| Removal or shaving of skin growth | 188 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125 | WY | MD | Podiatrist |
| 288 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward a Sharrer DPM PLLC | Podiatrist | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- North Little Rock, AR
- NPI 1235867300
-
- Durable Medical Equipment & Medical Supplies
- Sylvania, OH
- NPI 1679650980
Podiatrist
-
- Durable Medical Equipment & Medical Supplies
- Worthington, OH
- NPI 1992406490
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.