Jon P Verhalen, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

N1940 Issued in TX

Practice address

7167 Colleyville Blvd Ste 102
Colleyville, TX 76034-8002

Phone

(817) 484-0169

Fax

(817) 809-7820

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Breast Recon Specialists, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Colleyville, TX
  • NPI 1104348614
  NPD Authorized official
• West Houston Aesthetic and Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Westlake, TX
  • NPI 1326558594
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1083725972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WISTERIA WAY",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762629083",
            "telephone_number": "206-963-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7167 COLLEYVILLE BLVD STE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348002",
            "telephone_number": "817-484-0169",
            "fax_number": "817-809-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHALEN",
        "first_name": "JON",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N1940",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "44938",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00045223",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanguard Medical Alliance
• Tanvi Rajendra Vankawala, DPT
• Tracy Denice Vasquez
• Andrea Melinn Veach
• Ruth Rachel Vendsel, LPC
• Amanda D Vick, P.T.
• Kelsey Vick, LPC
• Village Lane Apothecary
• Village Lane Apothecary, L.L.C.
• Mariaa Annette Villarreal, MS, LPC

• Plastic and Reconstructive Surgery Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.