Active NPI
Stripling Clinic
- Family Medicine Physician
- Jacksonville, TX
National Provider Identifier
1073598496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D9115
- Legal business name
- STRIPLING CLINIC
- Practice address
- 555 S Jackson St
Jacksonville, TX 75766-2476 - Phone
- (903) 586-2278
- Fax
- (903) 586-3127
- NPI assigned
- Dec 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Randolph Danel, MD
- Title
- Owner
- Phone
- (903) 586-2278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D9115 | TX | Primary |
Addresses
Primary practice location
555 S Jackson St
Jacksonville, TX 75766-2476
Mailing address
555 S Jackson St
Jacksonville, TX 75766-2476
Phone (903) 586-2278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034812001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1073598496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757662476",
"telephone_number": "903-586-2278",
"fax_number": "903-586-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757662476",
"telephone_number": "903-586-2278",
"fax_number": "903-586-3127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIPLING CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-08",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "DANEL",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "RANDOLPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-586-2278",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "D9115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034812001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
- Special Health Resources for Texas, Incorporated (True North Health Center)
- Christy Michelle Spell
- Melissa A Springmeyer, M.D.
- Dennis Raymond Steelman, LPC
- Charles Martin Stocks, DDS
- Stripling Clinic (Marcus Alan Byrd MD)
- Stripling Clinic LLC
- Surgical Associates of Cherokee County PA
- April Joann Tennison, LVN
- The Healthy Hive, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.