Organization Active NPI

Tina P. Elkins MD PA

  • Otolaryngology Physician
  • Athens, TX
National Provider Identifier
1952451700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TINA P. ELKINS MD PA
Practice address
1701 S Palestine St Ste B
Athens, TX 75751-8951
Phone
(903) 675-2222
Fax
(903) 675-1838
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kerri Melissa Keech
Title
Practice Administrator
Phone
(903) 675-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

1701 S Palestine St Ste B
Athens, TX 75751-8951

Mailing address

1701 S Palestine St Ste B
Athens, TX 75751-8951
Phone (903) 675-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952451700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S PALESTINE ST STE B",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757518951",
            "telephone_number": "903-675-2222",
            "fax_number": "903-675-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S PALESTINE ST STE B",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757518951",
            "telephone_number": "903-675-2222",
            "fax_number": "903-675-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA P. ELKINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEECH",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-675-2222"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.