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EAST TEXAS FOOT ASSOCIATES
NPI 1114086659
Podiatrist in Lufkin, TX

Active since December 08, 2006CLIA 45D2251506 · Waiver
200 S. JOHN REDDITT DR., LUFKIN, TX 75904(936) 632-5252(936) 632-5284 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About East Texas Foot Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TEXAS FOOT ASSOCIATES (NPI 1114086659) is a healthcare organization registered as a podiatrist in Lufkin, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Eddy Gene Corse, Dpm, as its authorized official.

NPPES Registry Identity

NPI1114086659
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEAST TEXAS FOOT ASSOCIATES
Location Address200 S. JOHN REDDITT DR.Lufkin, TX 75904
Mailing Address200 S. John Redditt DrLufkin, TX 75904 · (936) 632-5252 · Fax (936) 632-5284
Phone(936) 632-5252
Fax(936) 632-5284
Organization SubpartNo
Authorized OfficialEddy Gene CorseDpm · (936) 632-5252
Enumeration DateDecember 8, 2006
Last NPPES UpdateNovember 7, 2017
✔ NPI 1114086659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in TX · 0540✔ Licensed in TX · 1590
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
200 S. JOHN REDDITT DR., Lufkin, TX 75904
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Other Identifiers 6

Other14HZBcbs
Medicare ID-Type Unspecified00554T
Medicaid151320201TX
Medicare NSC0807820001TX
Medicare UPINX72489
Medicaid373459201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Texas Foot Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to East Texas Foot Associates, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Eddy Corse, D.P.M
Podiatry
NPI 1265893499
200 S JOHN REDDITT DR
Lufkin, TX 75904
(936) 632-5252
✔ PECOS✔ Accepts Medicare0.3 mi
Jason Reel, DPM
Podiatry
NPI 1588607360
200 S JOHN REDDITT DR
Lufkin, TX 75904
(936) 632-5252
✔ PECOS✔ Accepts Medicare0.3 mi
Henry Warren, DPM
Podiatry
NPI 1447397484
200 S. JOHN REDDITT DR.
Lufkin, TX 75904
(936) 632-5252
✔ PECOS✔ Accepts Medicare0.3 mi
Kayla Robinson, DPM
Podiatry
NPI 1598386005
1318 S JOHN REDDITT DR STE A
Lufkin, TX 75904
(936) 707-3300
✔ PECOS✔ Accepts Medicare0.9 mi
Shayla Robinson, DPM
Podiatry
NPI 1063019917
1318 S JOHN REDDITT DR STE A
Lufkin, TX 75904
(936) 707-3300
✔ PECOS✔ Accepts Medicare0.9 mi
Matthew Daugherty, DPM
Podiatry
NPI 1245510932
3316 N UNIVERSITY DR
Nacogdoches, TX 75965
(936) 559-1700
✔ PECOS✔ Accepts Medicare22 mi
Mark Sowell, DPM
Podiatry
NPI 1679517528
3316 N UNIVERSITY DR SUITE C
Nacogdoches, TX 75965
(936) 559-1700
✔ PECOS✔ Accepts Medicare22 mi
Hira Mirza
Podiatry
NPI 1639794787
9440 BELLAIRE BLVD STE 205
Houston, TX 77036
(713) 493-0706
✔ PECOS✔ Accepts Medicare121 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2251506

East Texas Foot Associates · Nacogdoches, TX
Active · expires Mar 29, 2028
CLIA Number45D2251506
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorDr. Henry C. Warren
Laboratory Phone(936) 632-5252
Laboratory LocationEast Texas Foot Associates1400 Raguet Street, Nacogdoches, TX 75961
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Foot Associates's NPI number?

The NPI number for East Texas Foot Associates is 1114086659. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is East Texas Foot Associates located?

East Texas Foot Associates is located at 200 S. John Redditt Dr., Lufkin, TX 75904. The listed phone number is (936) 632-5252.

What is East Texas Foot Associates's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is East Texas Foot Associates enrolled in Medicare?

Yes. East Texas Foot Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Texas Foot Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Podiatry, reassign their Medicare billing to East Texas Foot Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Texas Foot Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2251506) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Texas Foot Associates was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.