John P Hitchcock, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02202 Issued in TX

Practice address

202 James Street
Brackettville, TX 78832-0729

Phone

(830) 563-2434

Fax

(855) 729-6740

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• John Paul Hitchcock Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.hitchcock.p1@direct.umchealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1710980669

  Physician Assistant, TX

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TX

  Medicare reassignment
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1295525012

  Physician Assistant

  NPD
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Brackettville, TX
  • NPI 1336284785

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1013087956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "BRACKETTVILLE",
            "state": "TX",
            "postal_code": "78832",
            "telephone_number": "830-563-2434",
            "fax_number": "855-729-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JAMES STREET",
            "city": "BRACKETTVILLE",
            "state": "TX",
            "postal_code": "788320729",
            "telephone_number": "830-563-2434",
            "fax_number": "855-729-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3448771-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION CERTIFICATION PHY.ASSISTANTS",
            "identifier": "1031098",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "HITCHCOCK",
            "middle_name": "PAUL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Tyeanna Goodall Johnson
• Kinney County Aging Services
• Frank C Kretsinger, D.O.
• Pro Care Supplies LLC
• Imelda Rodriguez Tabares

• All providers in Brackettville, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.