NPIMap

Organization Active NPI

Jose Salguero MD PA

  • Pediatric Adolescent Medicine Physician
  • Ennis, TX
National Provider Identifier
1093258238
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
K6287 Issued in TX
Legal business name
JOSE SALGUERO MD PA
Doing business as
PEDIATRICS COOLCARE
Practice address
900 W Ennis Ave
Ste 119
Ennis, TX 75119-3736
Phone
(972) 875-1010
Fax
(972) 875-7850
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Mr. Jose J Salguero, MD PANPI 1770509390
Title
Owner
Phone
(972) 875-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080A0000X K6287 TX Primary

Addresses

Primary practice location

900 W Ennis Ave
Ste 119
Ennis, TX 75119-3736

Mailing address

PO Box 1208
Ennis, TX 75120-1208
Phone (972) 875-1010

Other identifiers 4

IdentifierTypeStateIssuer
181553202MedicaidTX
107522808MedicaidTX
107522807MedicaidTX
107522809MedicaidTX

Other names 1

  • PEDIATRICS COOLCARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1093258238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751201208",
            "telephone_number": "972-875-1010",
            "fax_number": "972-875-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ENNIS AVE",
            "address_2": "STE 119",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193736",
            "telephone_number": "972-875-1010",
            "fax_number": "972-875-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE SALGUERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "SALGUERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-875-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "K6287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181553202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107522808",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107522807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107522809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRICS COOLCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.