Organization Active NPI

Texas Oncology PA

  • Medical Oncology Physician
  • Dallas, TX
National Provider Identifier
1003083445
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
TEXAS ONCOLOGY PA
Practice address
3410 Worth St
Dallas, TX 75246-2003
Phone
(972) 997-8000
Fax
(972) 234-2987
NPI assigned
May 14, 2008
Organization subpart
Yes
Parent organization
TEXAS ONCOLOGY PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Mr. Jason D Shook
Title
Chief Operating Office
Phone
(972) 490-2947

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X Primary
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

3410 Worth St
Dallas, TX 75246-2003

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 1

IdentifierTypeStateIssuer
140414745MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000323 TX Part B Supplier - Clinic/Group Practice 5395658934 Receives reassigned benefits from 1,125 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0479011Texas Oncology Lab - Baylor3410 Worth Street, Dallas, TX 75246AccreditationDec 22, 2027

National Provider Directory

National Provider Directory
Part of
Texas Center for Cancer

Locations

1401 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 260-1581

7777 Forest Ln
Ste D220
Dallas, TX 75230
Phone (972) 566-5608

1411 N Beckley Ave
Ste 464
Dallas, TX 75203
Phone (214) 948-3101

3555 W Wheatland Rd
Dallas, TX 75237
Phone (972) 709-2580

3410 Worth St
Ste 730
Dallas, TX 75246
Phone (214) 370-1000

1441 N Beckley Ave
Ste 101
Dallas, TX 75203
Phone (214) 943-9911

7777 Forest Ln
Ste C614
Dallas, TX 75230
Phone (972) 566-7499

3535 Worth St
Ste C1025
Dallas, TX 75246
Phone (214) 370-1000

3410 Worth St
Ste 150
Dallas, TX 75246
Phone (214) 370-1000

221 W Colorado Blvd
Ste 532
Dallas, TX 75208
Phone (214) 943-8605

500 S Henderson St
Ste 200
Ft Worth, TX 76104
Phone (817) 413-1500

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

13215 Dotson Rd
Ste 300
Houston, TX 77070
Phone (281) 894-8822

694 Hill Country Dr
Kerrville, TX 78028
Phone (830) 792-3434

400 Rosalind Redfern Grover Pkwy
Ste 110
Midland, TX 79701
Phone (432) 687-1949

911 Foster Ln
Weatherford, TX 76086
Phone (817) 594-2052

1330 E 6th St
Ste 204
Weslaco, TX 78596
Phone (956) 969-0021

Practitioners & affiliated clinicians

Practitioners 219

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

View all 219

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1003083445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ONCOLOGY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS ONCOLOGY PA",
        "enumeration_date": "2008-05-14",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "972-490-2947",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140414745",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.