Organization Active NPI

Jonathan W Pino MD PLLC

Doing business as Canton XpressMed

  • Family Medicine Physician
  • Canton, TX
National Provider Identifier
1114255601
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JONATHAN W PINO MD PLLC
Doing business as
Canton XpressMed
Practice address
301 E State Highway 243 Ste 121
Canton, TX 75103-2418
Phone
(903) 567-4692
Fax
(903) 225-1995
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jonathan W Pino, MD
Title
Owner/Member
Phone
(940) 613-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

301 E State Highway 243 Ste 121
Canton, TX 75103-2418

Mailing address

454 VZ County Road 2206
Canton, TX 75103-5351
Phone (940) 613-5202

Other names 1

  • Canton XpressMed Doing business as

National Provider Directory

National Provider Directory

Locations

301 E State Highway 243
Canton, TX 75103
Phone (903) 567-4692

2304 Midwestern Pkwy
Ste 202
Wichita Falls, TX 76308
Phone (940) 613-1661

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114255601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 VZ COUNTY ROAD 2206",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751035351",
            "telephone_number": "940-613-5202",
            "fax_number": "903-225-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E STATE HIGHWAY 243 STE 121",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751032418",
            "telephone_number": "903-567-4692",
            "fax_number": "903-225-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN W PINO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "940-613-5202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton XpressMed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canton XpressMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.