Active NPI
Stephen E Janecek, M.D.
- Anesthesiology Physician
- Victoria, TX
National Provider Identifier
1154401065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H6311
- Practice address
- 1501 E Mockingbird Lane
#200
Victoria, TX 77904-2194 - Phone
- (316) 573-6291
- Fax
- (361) 576-2434
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | H6311 | TX | Primary |
Addresses
Primary practice location
1501 E Mockingbird Lane
#200
Victoria, TX 77904-2194
Mailing address
1501 E Mockingbird Lane
#200
Victoria, TX 77904-2194
Phone (316) 573-6291
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDH6311 | Other | TX | WORKERS COMPENSATION |
| 87W114 | Other | TX | BLUE CROSS |
| 115106001 | Medicaid | TX | |
| 115106003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6311 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Anesthesiology Assoc LLP | Anesthesiology | Past | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Anesthesiology Physician
- Victoria, TX
- NPI 1881709780
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1154401065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LANE",
"address_2": "#200",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042194",
"telephone_number": "316-573-6291",
"fax_number": "361-576-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LANE",
"address_2": "#200",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042194",
"telephone_number": "316-573-6291",
"fax_number": "361-576-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANECEK",
"first_name": "STEPHEN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "H6311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "MDH6311",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "87W114",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115106001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115106003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.