Jon Jason O'Pry, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

L7505 Issued in TX

Practice address

Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop, BLDG 4554
Jbsa-Lackland AFB, TX 78236-9908

Phone

(210) 292-6376

NPI assigned

Apr 7, 2006

Last updated

Aug 10, 2021By the provider in NPPES

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• McAllen Hospitalist Group, PLLC

  dba Valley Care Clinics

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1356361976
  NPD
• Tarrant County Hospital District

  dba JPS Health Network

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1992753222
  NPD (past)
• Texas Laurel Ridge Hospital LP

  dba Laurel Ridge Treatment Center

  • Psychiatric Hospital
  • San Antonio, TX
  • NPI 1043280951
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1073576591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "RAF LAKENHEATH 48 MDG/SGOT",
            "address_2": "UNIT 5210 BOX 230",
            "city": "APO",
            "state": "AE",
            "postal_code": "094610230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILFORD HALL AMBULATORY SURGICAL CENTER",
            "address_2": "1100 WILFORD HALL LOOP, BLDG 4554",
            "city": "JBSA-LACKLAND AFB",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'PRY",
        "first_name": "JON",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L7505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Mireles III, D.C.
• Hilary Monford, LCSW
• Adam Mucci, DDS
• Joanna Marliss Funk Nelms, MD, MPH
• Duy Quoc Nguyen, DDS
• Tiffney Peters, MSW, PHD
• Jennifer Nichole Phillips, LCSW
• Marygayle Martin Radley, DO
• Farhan Raza

• Child & Adolescent Psychiatry Physician in Jbsa Lackland AFB, TX
• Providers in Jbsa Lackland AFB, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.