Johnson & Havener Medical Services, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

JOHNSON & HAVENER MEDICAL SERVICES, PA

Practice address

1920 E Griffin Pkwy
Mission, TX 78572-3106

Phone

(956) 584-3353

Fax

(956) 584-3253

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Jere M Johnson, MD

Title

President

Phone

(956) 584-3353

Specialties & licenses 1

Addresses

Other names 1

• Family Health Center of Mission Doing business as

Practitioners 1

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

• Joshua Lucas, PA

  • Medical Physician Assistant
  • New Braunfels, TX
  • NPI 1902294572
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1003214859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 LIVE OAK ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785743303",
            "telephone_number": "602-885-5094",
            "fax_number": "956-584-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-584-3353",
            "fax_number": "956-584-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & HAVENER MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JERE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-584-3353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center of Mission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeselle a Mathews, Mdpa
• Mariano Jimenez, LPC
• Richard Jimenez, CRNA
• Jja Management, LLC
• JN New Life Care Services Corp.
• Johnson & Havener Medical Services, PA
• Christina Noel Johnson, NP
• Jere Matthew Johnson, M.D.
• Jorky Inc.
• Jose a Escandon MD PA

• Medical Physician Assistant in Mission, TX
• Providers in Mission, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.