John Edmond Pinkstaff, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M6831 Issued in TX

Practice address

17472 Creek Xing
College Station, TX 77845-5523

Phone

(409) 256-5817

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Texas Medical Branch at Galveston, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22902/brand/1/csg/1/fhir/r4
• Direct secure messaging: john.pinkstaff.1@22902.direct.athenahealth.com

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.

• John E Pinkstaff M D PLLC

  • Urgent Care Clinic/Center
  • Huntsville, TX
  • NPI 1568905610
  Medicare reassignment NPD Authorized official
• Affilion of Texas PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Corsicana, TX
  • NPI 1962696013
  NPD (past)
• Petit Jean Emergency Physicians

  • Emergency Medicine Physician
  • Morrilton, AR
  • NPI 1316991359
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1194894816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17472 CREEK XING",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455523",
            "telephone_number": "409-256-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17472 CREEK XING",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455523",
            "telephone_number": "409-256-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTAFF",
        "first_name": "JOHN",
        "middle_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5014",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M6831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piece of Mind Counseling PLLC
• Arron Pierce
• Barbara Lee Pierce, M.D.
• Kirk Pierce, PA
• Caleigh Elisabeth Piles
• Sheila Renee Pinkston, MD
• Brooke Ann Pittman, M.S., CCC-SLP
• Steven Christian Piwonka
• Alyssa Haley Platz
• Marilyn Plunk

• Emergency Medicine Physician in College Station, TX
• Providers in College Station, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.

Verify at the official NPI Registry.