NPIMap

Organization Active NPI

Texas Oncology PA

  • Medical Oncology Physician
  • Beaumont, TX
National Provider Identifier
1194992537
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
TEXAS ONCOLOGY PA
Practice address
690 N 14TH St
Beaumont, TX 77702-1449
Phone
(972) 997-8000
Fax
(972) 234-2987
NPI assigned
May 14, 2008
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS ONCOLOGY PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Jason D Shook
Title
Chief Operating Officer
Phone
(972) 490-2947

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU
Medical Oncology Physician 207RX0202X NU Primary
Gynecologic Oncology Physician 207VX0201X NU
Pediatric Hematology & Oncology Physician 2080P0207X NU
Radiation Oncology Physician 2085R0001X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

690 N 14TH St
Beaumont, TX 77702-1449

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 1

IdentifierTypeStateIssuer
140414747MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000323 TX Part B Supplier - Clinic/Group Practice 5395658934 Receives reassigned benefits from 1,125 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Robert G Mennel MD

Locations

12221 Renfert Way
Ste 350
Austin, TX 78758
Phone (737) 610-5200

901 W 38th St
Ste 300
Austin, TX 78705
Phone (512) 421-4100

3010 Harrison Ave
Beaumont, TX 77702
Phone (409) 899-7047

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

690 N 14th St
#4793
Beaumont, TX 77702
Phone (409) 899-7180

Use Cg4793
Dallas, TX 75391

800 W Central Texas Expy
Ste 305
Harker Heights, TX 76548
Phone (512) 687-2300

4800 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 305-5102

2501 Jimmy Johnson Blvd
Ste 205
Port Arthur, TX 77640
Phone (409) 724-2002

9100 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 412-2577

11130 Christus Hls
Ste 210
San Antonio, TX 78251
Phone (210) 245-2000

501 Saunders Ave
Ste 310
Tyler, TX 75702

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1194992537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N 14TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021449",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ONCOLOGY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS ONCOLOGY PA",
        "enumeration_date": "2008-05-14",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "972-490-2947"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140414747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.