NPIMap

Organization Active NPI

Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Abilene, TX
National Provider Identifier
1922018084
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D6207 Issued in TX
Legal business name
ENDOCRINOLOGY ASSOCIATES
Practice address
2125 Pine St
Abilene, TX 79601-2435
Phone
(325) 677-5201
Fax
(325) 677-3531
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Fred A White, MD
Title
Owner
Phone
(325) 677-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X D6207 TX Primary

Addresses

Primary practice location

2125 Pine St
Abilene, TX 79601-2435

Mailing address

2125 Pine St
Abilene, TX 79601-2435
Phone (325) 677-5201

Other practice location 1

2501 S Willis St
Abilene, TX 79605-6287
Phone (325) 677-5201

Other identifiers 1

IdentifierTypeStateIssuer
031441803MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000793 TX Part B Supplier - Clinic/Group Practice 9537129259 Receives reassigned benefits from 6 practitioners
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Locations

2125 Pine St
Abilene, TX 79601
Phone (325) 677-5201

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1922018084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012435",
            "telephone_number": "325-677-5201",
            "fax_number": "325-677-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012435",
            "telephone_number": "325-677-5201",
            "fax_number": "325-677-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 S Willis St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796056287",
            "country_code": "US",
            "telephone_number": "325-677-5201",
            "fax_number": "325-677-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOCRINOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-677-5201",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "D6207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031441803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.