Organization Active NPI

SJMC Physician Services

  • Specialist
  • Houston, TX
National Provider Identifier
1083975312
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SJMC PHYSICIAN SERVICES
Practice address
1401 St Joseph Pkwy
(Attn: SJMC Physician Services)
Houston, TX 77002-8301
Phone
(713) 757-1000
Fax
(713) 657-7123
NPI assigned
Jun 4, 2012
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Jonathan A Demke
Title
Ceo
Phone
(615) 467-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1401 St Joseph Pkwy
(Attn: SJMC Physician Services)
Houston, TX 77002-8301

Mailing address

PO Box 847747
Dallas, TX 75284-7747
Phone (866) 286-4922

Other identifiers 1

IdentifierTypeStateIssuer
3158743-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

1315 St Joseph Pkwy
Ste 1300
Houston, TX 77002
Phone (713) 756-5500

1401 St Joseph Pkwy
#2
Houston, TX 77002
Phone (713) 756-8080

427 W 20th St
Ste 301
Houston, TX 77008
Phone (713) 714-2448

427 W 20th St
Ste 303
Houston, TX 77008
Phone (713) 231-1880

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1083975312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847747",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847747",
            "telephone_number": "866-286-4922",
            "fax_number": "314-432-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ST JOSEPH PKWY",
            "address_2": "(ATTN: SJMC PHYSICIAN SERVICES)",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301",
            "telephone_number": "713-757-1000",
            "fax_number": "713-657-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJMC PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "DEMKE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-467-1072"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158743-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.