Individual provider Active NPI

Marie Denise Jarbath, P.A.-C

  • Surgical Physician Assistant
  • Webster, TX
National Provider Identifier
1164425195
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA02214 Issued in TX
Practice address
17448 Highway 3
Ste 136
Webster, TX 77598-4141
Phone
(281) 338-4443
Fax
(281) 338-8821
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02214 TX
Surgical Physician Assistant 363AS0400X PA02214 TX Primary

Addresses

Primary practice location

17448 Highway 3
Ste 136
Webster, TX 77598-4141

Mailing address

17448 Highway 3
Ste 136
Webster, TX 77598-4141
Phone (281) 338-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000831 TX Practitioner - Physician Assistant 0042221749

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17448 Hwy 3
Suite 136
Webster, TX 77598-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02214TXMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: djarbath@scps-tx.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/15688/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1164425195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17448 HIGHWAY 3",
            "address_2": "STE 136",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984141",
            "telephone_number": "281-338-4443",
            "fax_number": "281-338-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17448 HIGHWAY 3",
            "address_2": "STE 136",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984141",
            "telephone_number": "281-338-4443",
            "fax_number": "281-338-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARBATH",
        "first_name": "MARIE",
        "middle_name": "DENISE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02214",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.