Organization Active NPI

H&O Jawed Health LLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1194381087
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
H&O JAWED HEALTH LLC
Practice address
5418 N Loop 1604 W
San Antonio, TX 78249-4581
Phone
(210) 600-4600
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Samiha Jawed, MDNPI 1184887176
Title
Owner
Phone
(973) 432-1029

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5418 N Loop 1604 W
San Antonio, TX 78249-4581

Mailing address

3827 Happys Cor
San Antonio, TX 78258-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821003182 TX Part B Supplier - Clinic/Group Practice 7113256199 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

3636 Medical Dr
Ste 108
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 1

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": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1194381087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 HAPPYS COR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 N LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494581",
            "telephone_number": "210-600-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&O JAWED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "JAWED",
        "authorized_official_first_name": "SAMIHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-432-1029",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.