John C. Hairston, M.D., P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

L4417 Issued in TX

Legal business name

JOHN C. HAIRSTON, M.D., P.A.

Practice address

16659 Southwest Fwy
Medical Office BLDG II, Ste 225
Sugar Land, TX 77479-2375

Phone

(281) 313-7878

Fax

(281) 313-7880

NPI assigned

Sep 14, 2006

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John C. Hairston, M.D.NPI 1669577532

Title

Credentialing Specialist

Phone

(281) 313-7878

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John C Hairston, M.D.

  • Urology Physician
  • Sugar Land, TX
  • NPI 1669577532
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1033214093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "MEDICAL OFFICE BLDG II, STE 225",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-313-7878",
            "fax_number": "281-313-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "MEDICAL OFFICE BLDG II, STE 225",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-313-7878",
            "fax_number": "281-313-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. HAIRSTON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "281-313-7878",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "L4417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "4248755",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "DF7297",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5472630",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186303701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0035NX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Jodlowski, LPC
• Samir Joglekar, MD
• Swati Joglekar, MD
• John B. Braswell, DC,PC
• John Boon MD Urology
• John Paul II Back and Bone Health Center PLLC
• John T. Nguyen, MD, PA
• Biju John, LMSW
• Kristen John
• Neethu John

• Urology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.