Active NPI
Marie Denise Jarbath, P.A.-C
- Surgical Physician Assistant
- Webster, TX
National Provider Identifier
1164425195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA02214
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA02214 | TX | MD | Surgical Physician Assistant |
Interoperability endpoints
- djarbath@scps-tx.direct.office.nextgen.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.